Jesse Kusmulyana, PTA
NPI #1467010082 in Peridot, Arizona
Provider Information
- NPI Number
- 1467010082
- Entity Type
- Individual
- Name
- Jesse Kusmulyana, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 29, 2019
- Last Updated
- May 29, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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