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Individual

DR. CAROLE R HUSSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
301 LAVINDER ST, MARTINSVILLE, VA 24112-3520
(276) 632-5281
(276) 632-6884
Mailing address
301 LAVINDER ST, MARTINSVILLE, VA 24112-3520
(276) 632-5281
(276) 632-6884

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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