Individual
JUSTIN WAYNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2403 WOODY TRACE LN, TAMPA, FL 33612-7122
(813) 325-6548
Mailing address
2403 WOODY TRACE LN, TAMPA, FL 33612-7122
(813) 325-6548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19420
FL
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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