Individual
JUSTIN MICHAEL HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
1100 BLYTHE BLVD OFC 2555, CHARLOTTE, NC 28203-5814
(704) 355-4300
Mailing address
1100 BLYTHE BLVD OFC 2555, CHARLOTTE, NC 28203-5814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17939
NC
Other
Enumeration date
06/12/2018
Last updated
04/14/2025
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