DR. John State Rusin, PT, DPT, CSCS
NPI #1568711406 in La Jolla, California
Provider Information
- NPI Number
- 1568711406
- Entity Type
- Individual
- Name
- DR. John State Rusin, PT, DPT, CSCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- PT, DPT, CSCS
- Enumeration Date
- Sep 6, 2012
- Last Updated
- Sep 6, 2012
Practice Location
- Address
- 1241 PROSPECT ST
- Address 2
- APARTMENT 5
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-0000
- Phone
- (716) 481-0675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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