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Individual

KIRSTEN CHERI DUSSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
5275 MILLENNIUM DR NW, HUNTSVILLE, AL 35806-2457
(256) 489-6800
Mailing address
25768 HENRY CLAY DR, MADISON, AL 35756-3643
(256) 698-0543

Taxonomy

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

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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