Individual
MR. JUSTIN LONN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
621 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5141
(772) 343-8000
(772) 343-7999
Mailing address
621 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5141
(772) 343-8000
(772) 343-7999
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT2055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2055
LICENSE #
FL
Enumeration date
07/30/2006
Last updated
12/09/2009
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