Individual
DEBRA ELIZABETH KUSHION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013458
MI
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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