NPI 1003215906

Shaeleen Johnston

Practitioner Occupational Therapy Assistant Cottonwood, AZ

Practice location

Address: 197 S Willard St, Cottonwood, AZ 86326-4123
Phone: (888) 873-4221

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5900 (AZ)

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Registry record

NPI: 1003215906
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2014
Record last updated: 15 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.