Justin Minor, MPT
Physical Medicine & Rehabilitation in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1346755618
StatusActive
Last updated in NPPESDec 8, 2017
Details
- NPI
- 1346755618
- Entity type
- Individual (NPI-1)
- Name
- Justin Minor
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2017
- Last updated
- Dec 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT021461 | PA | Yes |
Practice location
182 Butler StWilkes Barre, PA 18702-4465
Phone 570-970-0402 · Fax 570-970-0403
Mailing address
182 Butler StWilkes Barre, PA 18702-4465
Phone 570-970-0402 · Fax 570-970-0403
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