JEANNA KATHERINE MARCUSSEN

PORT ORANGE, FL
NPI1427329606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602855)
Enumeration Date2012-01-20
Last Update Date2012-01-20
Business Address
-- JEANNA KATHERINE MARCUSSEN
5535 S WILLIAMSON BLVD # 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
-- JEANNA KATHERINE MARCUSSEN
635 VILLAGE PKWY
FREDERICKSBURG, VA 22406-7297
Phone number:
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