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Individual
RYAN JEAN RUSHTON
Active
Individual
RYAN JEAN RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05366
OR
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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