Johnston, Stacy Lea

Johnston, Stacy Lea is an sole proprietor health care provider with primary practice located at 4415 36 1/2 Street West , St. Louis Park MN 55416. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Johnston, Stacy Lea can be contacted via phone (952) 927-9717.

Contact Information

Primary practice address
4415 36 1/2 Street West St. Louis Park MN 55416
Phone: (952) 927-9717
Fax: (952) 927-7687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 100740 Minnesota

Profile Details

NPI number 1669571261
LBN Legal business name Johnston, Stacy Lea
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Apr 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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