| Jennine Maree Johnston, OT | |
|
6410 Fannin St Ste 950, Houston, TX 77030-5204 | |
| (832) 325-7234 | |
| Not Available |
| Full Name | Jennine Maree Johnston |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 6410 Fannin St Ste 950, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265114144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 104010 (Texas) | Primary |
| Provider Name | Ut Physicians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennine Maree Johnston, OT 2324 Addison Rd, Houston, TX 77030-1128 Ph: (713) 392-1224 | Jennine Maree Johnston, OT 6410 Fannin St Ste 950, Houston, TX 77030-5204 Ph: (832) 325-7234 |
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