Individual
MRS. JESSICA HISSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
97 HUGHES RD STE P, MADISON, AL 35758-3401
(256) 774-2978
(256) 774-2979
Mailing address
4240 BALMORAL DR SW STE 100, HUNTSVILLE, AL 35801-5633
(256) 883-1970
(256) 883-8061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9739
AL
Other
Enumeration date
12/05/2019
Last updated
02/06/2020
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