MRS. Melanie Jeannine Johnston, COTA/L
NPI #1356629968 in Madison, Mississippi
Provider Information
- NPI Number
- 1356629968
- Entity Type
- Individual
- Name
- MRS. Melanie Jeannine Johnston, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Credential
- COTA/L
- Enumeration Date
- Jul 31, 2011
- Last Updated
- Jul 31, 2011
Practice Location
- Address
- 248 GENEVA BLVD
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-7739
- Phone
- (601) 260-7793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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