Individual
JUSTIN GERARD HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4016 CASSIMER AVE, DIBERVILLE, MS 39540-2309
(228) 280-8120
(228) 280-8121
Mailing address
4016 CASSIMER AVE, DIBERVILLE, MS 39540-2309
(228) 280-8120
(228) 280-8121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7208
MS
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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