Individual
MS. ANDREA NICOLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1190 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-6500
Mailing address
4152 54TH ST, WOODSIDE, NY 11377-4647
(646) 498-8141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014596-1
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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