Individual
JUSTIN KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 ANDREWS AVENUE, FORT NOVOSEL, AL 36362
(800) 261-7193
Mailing address
301 ANDREWS AVENUE, FORT NOVOSEL, AL 36362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA11052
AL
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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