Provider Demographics
NPI:1316590250
Name:DOERNER, JUSTIN (DPT)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:DOERNER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 PRISON LN
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:VA
Mailing Address - Zip Code:22974-3761
Mailing Address - Country:US
Mailing Address - Phone:434-984-3700
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:144 PRISON LN
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:VA
Practice Address - Zip Code:22974-3761
Practice Address - Country:US
Practice Address - Phone:434-984-3700
Practice Address - Fax:410-648-4878
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist