Individual
JUSTIN TAVORMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2301 W GRAND RIVER AVE, OKEMOS, MI 48864-1648
(517) 853-6800
Mailing address
7402 WESTSHIRE DR STE 105, LANSING, MI 48917-8687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302684
MI
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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