Individual
JUSTIN CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
201 SEAGRASS DR, PANAMA CITY, FL 32407-2597
(850) 749-5358
Mailing address
210 MONTANA AVE, LYNN HAVEN, FL 32444-1265
(817) 879-1385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2153497
TX
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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