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JUSTIN PROVO
Physical Therapist
NPI: 1588553259IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
PT43362(FL)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2025
Contact & Hours
- Address
- 2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL 32935 - Phone
- (255) 255-2818
Quick Facts
- NPI
- 1588553259
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 1
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