Individual
JUSTIN C NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 W OAK AVE, PLANT CITY, FL 33563-7222
(813) 754-3761
Mailing address
2347 VIEW WAY, LAKELAND, FL 33810-4882
(863) 860-3552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29360
FL
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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