Carson D Rusch

NPI #1639667173 in Riverdale, Utah

Provider Information

NPI Number
1639667173
Entity Type
Individual
Name
Carson D Rusch
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Apr 30, 2018
Last Updated
Apr 30, 2018

Practice Location

Address
4933 S 1500 W STE 110
State
Utah
ZIP Code
84405-7738
Phone
(801) 820-6420

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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