JESSE KUSMULYANA, PTA

PTA

Physical Therapy Assistant

NPI: 1467010082Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

PTA-013887(AZ)

Contact & Hours

Address: 103 MEDICINE WAY RD
PERIDOT, AZ 85542
Phone: (928) 475-1360

Quick Facts

NPI: 1467010082
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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