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Individual

MR. JUSTIN MICHAEL TEGERSTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2102 CIVIC CENTER DR, REDDING, CA 96001-2704
(530) 241-4040
(530) 241-4092
Mailing address
2102 CIVIC CENTER DR, REDDING, CA 96001-2704
(530) 241-4040
(530) 241-4092

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
02/13/2018
Last updated
06/30/2021
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