DAVID SHANE JOHNSTON

RUSSELLVILLE, AR
NPI1518397017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  10/11/2013)
Enumeration Date2013-11-19
Last Update Date2022-10-27
Business Address
DAVID SHANE JOHNSTON
306 E 11TH ST
RUSSELLVILLE, AR 72801-6156
Phone number: 479-968-1198
Mailing Address
DAVID SHANE JOHNSTON
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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