Individual
MELANIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
151 COUNTRY MEADOWS BLVD, WAXAHACHIE, TX 75165-7811
(972) 937-1650
Mailing address
112 OLD SETTLERS TRL, WAXAHACHIE, TX 75167-4832
(903) 654-1226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210690
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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