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Individual

JESSICA B GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12181 COUNTY LINE RD STE 150, MADISON, AL 35758-7740
(256) 461-9654
(256) 461-9728
Mailing address
1267 ENTERPRISE WAY NW STE B, HUNTSVILLE, AL 35806-4472
(256) 713-1872
(256) 713-1873

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4931
NM
225100000X
Physical Therapist
Primary
PTH9293
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180938721
AR
Enumeration date
09/30/2009
Last updated
07/12/2021
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