Individual
VANESSA RUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
126 JEFFERSON ST, SIMPSON, PA 18407-1210
(570) 575-4724
Mailing address
126 JEFFERSON ST, SIMPSON, PA 18407-1210
(570) 575-4724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004536
PA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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