Individual
DR. CAROLE R HUSSEY
Active
Individual
DR. CAROLE R HUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003684
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743117794
TRICARE
VA
01
—
7654644
AETNA
VA
Enumeration date
09/20/2005
Last updated
10/06/2015
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