JUSTIN PROVO
Physical Therapist
Active
Individual
NPI: 1588553259
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT43362 (FL) |
Frequently Asked Questions
NPI 1588553259 is the National Provider Identifier for JUSTIN PROVO, a Physical Therapist provider located in Melbourne, FL. This NPI was enumerated on June 30, 2025.
JUSTIN PROVO practices at 2200 W EAU GALLIE BLVD STE 105, Melbourne, FL 32935.
Quick Facts
- NPI
- 1588553259
- Type
- Individual
- Enumerated
- Jun 30, 2025
- Last Updated
- Aug 7, 2025
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