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General NPI Number Information
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NPI Number | 1235582578
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Entity Type | Individual
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Provider Name | CAITLIN MARIE JOHNSTON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 17360 NORTHWEST FWY STE A
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City | JERSEY VILLAGE
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State | TX
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Zip | 77040-1114
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Country | US
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Telephone | 713-849-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 17360 NORTHWEST FWY
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City | JERSEY VILLAGE
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State | TX
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Zip | 77040-1114
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Country | US
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Telephone | 713-849-2253
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 119293
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License Number State | TX
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