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1669017539
JUSTIN MATTHEW PITTMAN
MERIDIAN, ID
NPI
1669017539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT6538)
Enumeration Date
2019-11-14
Last Update Date
2024-03-25
Business Address
Mr. JUSTIN MATTHEW PITTMAN PT, DPT
1739 S JADE WAY STE 110
MERIDIAN, ID 83642-5898
Phone number: 208-207-5454
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Mailing Address
Mr. JUSTIN MATTHEW PITTMAN PT, DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-736-2574
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