Individual
JUSTIN MILES STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5206
(971) 983-5211
Mailing address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5206
(971) 983-5211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6606
OR
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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