Individual
MR. JUSTIN MATTHEW PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1739 S JADE WAY STE 110, MERIDIAN, ID 83642-5898
(208) 207-5454
(208) 600-6064
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 736-2574
(208) 600-6064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6538
ID
Other
Enumeration date
11/14/2019
Last updated
03/25/2024
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