Individual
LAURIE A JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
116 N JAMES ST, FARMER CITY, IL 61842-1571
(309) 275-6401
Mailing address
116 N JAMES ST, FARMER CITY, IL 61842-1571
(309) 275-6401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002998
IL
Other
Enumeration date
06/11/2010
Last updated
01/21/2015
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