MEDICARE: JUSTIN DREESSEN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P22563	NC

General Provider Information

NPI Number	:	1346028230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN DREESSEN PT, DPT

Provider Business Mailing Address
First Line	:	5221 PARAMOUNT PKWY STE 220
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 LATTNER CT STE 300
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9584
Country	:	US
Telephone Number	:	919-238-2450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	12/14/2023

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