JUSTIN LEE SORENSEN

DACULA, GA
NPI1538846829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  309718-2402)
Enumeration Date2023-06-29
Last Update Date2023-06-29
Business Address
JUSTIN LEE SORENSEN PTA
2463 HAMILTON MILL PKWY
DACULA, GA 30019-4648
Phone number: 770-932-9521
Mailing Address
JUSTIN LEE SORENSEN PTA
PO BOX 80
LITTLEFIELD, AZ 86432-0080
Phone number: 435-525-6341