MR. Larry Donald Rust, P.T.A.

NPI #1942415526 in Benicia, California

Provider Information

NPI Number: 1942415526
Entity Type: Individual
Name: MR. Larry Donald Rust, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 92 LINDA VISTA ST
City: Benicia
State: California
ZIP Code: 94510-2231
Phone: (510) 410-1892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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