Individual
MR. JUSTIN KEITH GERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3652 STARDUST DR, HANNIBAL, MO 63401-6212
(573) 221-8800
(573) 221-1808
Mailing address
3652 STARDUST DR, HANNIBAL, MO 63401-6212
(573) 221-8800
(573) 221-1808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009006691
MO
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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