Individual
MS. LORI ANN RUSINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
2129 W NEW HAVEN AVE, W MELBOURNE, FL 32904
(321) 724-0060
(321) 724-6775
Mailing address
444 10TH AVE, INDIALANTIC, FL 32903
(321) 984-0852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9619
FL
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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