Individual
JESSICA M DIRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2564 PAUOA RD, HONOLULU, HI 96813-1110
(330) 418-6439
Mailing address
PO BOX 22803, HONOLULU, HI 96823-2803
(330) 418-6439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3366
HI
Other
Enumeration date
05/04/2011
Last updated
04/26/2013
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