Individual
KRISTY NIX HABADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 GANDY ST NE, RUSSELLVILLE, AL 35653-1913
(256) 332-3773
Mailing address
352 BIG BEAR LAKE RD, PHIL CAMPBELL, AL 35581-5755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3454
AL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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