Individual
PATRICIA A TARUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 BARRATARIA DR, SAINT AUGUSTINE, FL 32080-8511
(904) 471-2406
Mailing address
244 BARRATARIA DR, SAINT AUGUSTINE, FL 32080-8511
(904) 471-2406
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 2129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880926700
—
FL
Enumeration date
09/10/2010
Last updated
07/22/2011
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