Lauretta Marie Rustad, PT, DPT

NPI #1083963839 in Victorville, California

Provider Information

NPI Number
1083963839
Entity Type
Individual
Name
Lauretta Marie Rustad, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Sep 6, 2012
Last Updated
Mar 2, 2015

Practice Location

Address
12402 INDUSTRIAL BLVD
Address 2
SUITE B-2
ZIP Code
92395-5871
Phone
(760) 955-6061

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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