Provider Demographics
NPI:1235680182
Name:KREMPIN, JUSTYNA A (LAT ATC)
Entity Type:Individual
Prefix:
First Name:JUSTYNA
Middle Name:A
Last Name:KREMPIN
Suffix:
Gender:F
Credentials:LAT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 NW 92ND AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6164
Mailing Address - Country:US
Mailing Address - Phone:305-731-3553
Mailing Address - Fax:
Practice Address - Street 1:796 NW 92ND AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-6164
Practice Address - Country:US
Practice Address - Phone:305-731-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-15
Last Update Date:2016-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer