Individual
KATHLEEN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21005 S SCHOOL RD., PECUILAR, MO 64078
(816) 892-1300
Mailing address
21005 S SCHOOL RD., PECUILAR, MO 64078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014019415
MO
Other
Enumeration date
08/28/2017
Last updated
01/25/2019
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