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Individual
JUSTIN ANDREW MAYORGA
Active
Individual
JUSTIN ANDREW MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42055
FL
225100000X
Physical Therapist
PTL.0020692
CO
Other
Enumeration date
08/14/2024
Last updated
06/25/2025
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