Individual
MR. KEVIN JAMES JUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5255 SNAPFINGER PARK DR, SUITE 130, DECATUR, GA 30035-4084
(770) 322-7003
(770) 322-7630
Mailing address
5255 SNAPFINGER PARK DR, SUITE 130, DECATUR, GA 30035-4084
(770) 322-7003
(770) 322-7630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003412
GA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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