Individual
JUSTIN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 GAUSE BLVD W, SLIDELL, LA 70460-2625
(985) 607-6363
(985) 607-6364
Mailing address
154 CYPRESS LAKES DR, SLIDELL, LA 70458-6242
(985) 607-5132
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11556
LA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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