Individual
ELIZABETH MICHELLE FUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10116
MN
225100000X
Physical Therapist
1230648
TX
225100000X
Physical Therapist
1535
SD
Other
Enumeration date
08/20/2013
Last updated
03/17/2018
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