Search › Wisconsin › 225100000X
Justin George, PTA
NPI 1780081208 · on the registry since 2014 · sole proprietor
Practice
- Address
- 341 W Main St
Evansville, WI 53536 - Phone
- (612) 267-5058
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin