MR. Robert R. Bussell X, P.T.

NPI #1316996747 in Jackon, California

Provider Information

NPI Number: 1316996747
Entity Type: Individual
Name: MR. Robert R. Bussell X, P.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 813 COURT STREET
Address 2: STE 2
City: Jackon
State: California
ZIP Code: 95642
Phone: (209) 223-3250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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