Individual
JUSTIN M MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
275 REGENCY CT STE 200, BROOKFIELD, WI 53045-6195
(262) 798-9650
Mailing address
PO BOX 611, BROOKFIELD, WI 53008-0611
(262) 798-9650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13682-24
WI
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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