Individual
JUSTIN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
341 W MAIN ST, EVANSVILLE, WI 53536-1020
(612) 267-5058
Mailing address
341 W MAIN ST, EVANSVILLE, WI 53536-1020
(612) 267-5058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2108296
TX
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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