Individual
COLLEEN HEATHER KUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1715 CASTLE GARDENS RD, VESTAL, NY 13850-1175
(607) 484-5079
Mailing address
20 PEACHTREE CT, SUITE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036375
NY
2251X0800X
Orthopedic Physical Therapist
PT022692
PA
Other
Enumeration date
05/28/2013
Last updated
03/01/2016
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