Most Relevant Information
Provider Data
| NPI Number: | 1003215906 |
| Provider Name: | SHAELEEN JOHNSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5900 |
Most Important Dates
| Enumeration Date: | 08/15/2014 |
| Last Updated: | 08/15/2014 |
Provider Practice Location
197 S WILLARD ST
COTTONWOOD
AZ
863264123
Practice Location Phone/Fax
| Phone: | 8888734221 |
| Fax: |
Provider Mailing Location
197 S WILLARD ST
COTTONWOOD
AZ
863264123
Provider Mailing Phone/Fax
| Phone: | 8888734221 |
| Fax: |