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NPI Code Detail

MEDICARE: REAGAN JOHNSTONE

MEDICARE:   REAGAN  JOHNSTONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT010618OH

General Provider Information

NPI Number : 1528626199
Entity Type Code : Individual
Provider Name (Legal Business Name) : REAGAN JOHNSTONE
Provider Business Mailing Address
First Line : 436 VERMONT PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-3131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5800 FOREST HILLS BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-6916
Country : US
Telephone Number : 614-890-8282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2019
Last Update Date : 05/30/2019

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Directions to “ REAGAN JOHNSTONE ” Practice Location

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