Individual
JUSTIN RYAN LOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
205 SAGE RD, STE 203, CHAPEL HILL, NC 27514-6995
(919) 918-4171
(919) 918-4172
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15149
NC
Other
Enumeration date
09/03/2014
Last updated
07/23/2015
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