Individual
JUSTIN LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1129 MS-35 #2, FOREST, MS 39074
(601) 469-1001
Mailing address
1618 HIGHWAY 43 N, PELAHATCHIE, MS 39145-2873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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