Individual
MRS. MARLA CHERE KIZZIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1119 2ND AVE NE, FAYETTE, AL 35555-1737
(205) 270-8188
Mailing address
1119 2ND AVE NE, FAYETTE, AL 35555-1737
(205) 270-8188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1403
AL
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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