Individual
TODD M JUSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9300 STONESTREET RD, SUITE 400, LOUISVILLE, KY 40272-2863
(502) 935-9776
(502) 935-9813
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006561
KY
225100000X
Physical Therapist
05007788A
IN
Other
Enumeration date
06/01/2015
Last updated
07/09/2016
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