JEREMY FOSSUM

DOTHAN, AL
NPI1548932262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2021-09-30
Last Update Date2021-09-30
Business Address
JEREMY FOSSUM DPT
512 N SHADY LN
DOTHAN, AL 36303-2991
Phone number: 334-699-5747
Mailing Address
JEREMY FOSSUM DPT
700 FARM CREEK RD APT 245
ENTERPRISE, AL 36330-9067
Phone number: 402-957-7243