Doctor Name: | MRS. KRISTINA MARGARET MARCUSSEN |
NPI Number: | 1093911968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 12405 |
Business Practice Address: | 21 Gregory Dr South Burlington, VT - 054036080 |
Business Phone Number: | 8026580949 |
Business Fax Number: | 8026581436 |
Mailing Address: | 73 Mcclellan Farm Rd, UNDERHILL |
State: | VT |
Postal Code: | 054899421 |
Phone Number: | 7734580183 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 08/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |