Individual
MR. NATHAN PAUL PRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
5575 KINGSLEY RD, CLYDE, MI 48049-1003
(810) 324-2073
(810) 324-2073
Mailing address
5575 KINGSLEY RD, CLYDE, MI 48049-1003
(810) 324-2073
(810) 324-2073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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