Individual
MRS. HANNAH R RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-3501
(920) 746-3568
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-3501
(920) 746-3568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2329-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2329-019
WI LICENSE
—
Enumeration date
06/04/2015
Last updated
01/04/2017
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