Individual
JULIE RUSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
10 MAIN STREET, NORTH COAST THERAPY LLC, WADDINGTON, NY 13694-0249
(315) 388-7703
(315) 388-4707
Mailing address
PO BOX 249, 10 MAIN STREET NORTH COAST THERAPY LLC, WADDINGTON, NY 13694-0249
(315) 388-7703
(315) 388-4707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006680
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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