David Shane Johnston
David Shane Johnston is an Occupational Therapist in Russellville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2013
Practice location Address checks out
306 E 11th StRussellville, AR 72801-6156
Phone: (479) 968-1198
Fax: (479) 967-1178
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 10/11/2013 (AR) |
|---|
Record details
| NPI number | 1518397017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 19, 2013 |
| Last updated in NPPES | October 27, 2022 |
| Certification date | October 27, 2022 |
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