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Individual

MRS. DANA C FUSSELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1720 E REELFOOT AVE, SUITE 100, UNION CITY, TN 38261-6047
(731) 884-0744
Mailing address
464 TROY POLK STATION RD, TROY, TN 38260-4802
(731) 536-5306

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2152
TN

Other

Enumeration date
07/01/2005
Last updated
07/08/2007
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