Shelly Diane Rusin, PTA

NPI #1891287967 in Waverly, New York

Provider Information

NPI Number: 1891287967
Entity Type: Individual
Name: Shelly Diane Rusin, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 4, 2018
Last Updated: Jun 4, 2018

Practice Location

Address: 37 N CHEMUNG ST
City: Waverly
State: New York
ZIP Code: 14892-1211
Phone: (607) 565-6259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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