Johnathon Macneill
NPI #1518626951 in Malden, Massachusetts
Provider Information
- NPI Number
- 1518626951
- Entity Type
- Individual
- Name
- Johnathon Macneill
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Dec 13, 2021
- Last Updated
- Dec 13, 2021
Practice Location
- Address
- 628 BROADWAY APT 2F
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148-2054
- Phone
- (857) 221-6282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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