Individual
ESTEPHANIE RUSNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3500 STADIUM DR, FORT WORTH, TX 76129-0001
(682) 402-6385
Mailing address
TCU BOX 297600, FORT WORTH, TX 76129-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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