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Individual
JUSTIN THOMPSON
Active
Individual
JUSTIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0P52
BCBS
FL
Enumeration date
09/29/2014
Last updated
03/08/2016
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