Individual
JUSTIN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
182 BUTLER ST, WILKES BARRE, PA 18702-4465
(570) 970-0402
(570) 970-0403
Mailing address
182 BUTLER ST, WILKES BARRE, PA 18702-4465
(570) 970-0402
(570) 970-0403
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT021461
PA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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