Individual
TREVOR JUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3028 NAVARRE AVE, OREGON, OH 43616-3308
(419) 697-6850
Mailing address
22644 SCHULTZ RD, DEFIANCE, OH 43512-9608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10643
OH
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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