Individual
MR. JUSTIN MARSHALL PEZICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
54 MIDDLESEX TPKE STE 101L, BEDFORD, MA 01730
(781) 229-8011
(781) 229-8374
Mailing address
54 MIDDLESEX TPKE STE 101L, BEDFORD, MA 01730-1417
(781) 229-8011
(781) 229-8374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20748
MA
261QP2000X
Physical Therapy Clinic/Center
20748
MA
Other
Enumeration date
09/23/2013
Last updated
03/13/2019
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