Individual
JANINE RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 CARMEL RD, CHARLOTTE, NC 28226-8106
(704) 574-3263
Mailing address
6208 SUMMERLIN PL, CHARLOTTE, NC 28226-9506
(704) 574-3263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6017
NC
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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