Individual
JUSTINE FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
53 ASH DR, HOLLYWOOD, FL 33026-1102
(561) 767-4421
Mailing address
8770 HOLLY CT APT 102, TAMARAC, FL 33321-2014
(954) 461-5490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31668
FL
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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