Individual
JUSTES MATHEW GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3689 TIMBERCREST DR, TROY, MI 48083-6814
(248) 761-6347
Mailing address
3689 TIMBERCREST DR, TROY, MI 48083-6814
(248) 761-6347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014390
MI
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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