Individual
DUSTIN PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8365 CINCH WAY, LAKE WORTH, FL 33467-6708
(561) 856-1117
Mailing address
8365 CINCH WAY, LAKE WORTH, FL 33467-6708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22582
FL
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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