Individual
MRS. JULIA ROSE RUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 N SEMINOLE CIR, FORT WAYNE, IN 46807-2865
(260) 760-7746
(260) 456-7746
Mailing address
226 N SEMINOLE CIR, FORT WAYNE, IN 46807-2865
(260) 760-7746
(260) 456-7746
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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