Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201000673 | MI |
N | 2251E1200X | Ergonomics | 5201000673 | MI |
N | 225XE1200X | Ergonomics | 5201000673 | MI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201000673 | MI |
N | 225XP0200X | Occupational Therapist - Pediatrics | 5201000673 | MI |
N | 225XR0403X | Driving and Community Mobility | 5201000673 | MI |
NPI | 1295984508 |
---|---|
Provider Name | Ms. Cynthia Ann Johnstone |
First Address | Big Rapids, MI 49307-2135 |
Second Address | Big Rapids, MI 49307-2135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 10/09/2008 |