Individual
JUSTIN MATTHEW FETSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
348 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 699-5747
Mailing address
348 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 699-5747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5315
AL
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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