Individual
JUSTIN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
1341 HUGHES FORD RD STE 104, FREDERICK, MD 21701-3134
(301) 798-4838
Mailing address
2712 CALL HILL RD, NASHVILLE, TN 37211-6870
(619) 985-9811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12418
TN
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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