Individual
MICHAEL DUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
(757) 623-5602
Mailing address
421 NORTH ST, PORTSMOUTH, VA 23704-2521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606135
VA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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