JASEN SISSON ABRAHAM

COLUMBUS, MS
NPI1598051112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT4914)
Enumeration Date2011-06-22
Last Update Date2015-06-18
Business Address
-- JASEN SISSON ABRAHAM DPT
670 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-328-1012
Mailing Address
-- JASEN SISSON ABRAHAM DPT
670 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-328-1012
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