Organization
HEATHER RUSH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL ROBERTS (ADMIN)
(352) 589-5595
Entity
Organization
Contact information
Practice address
443 PLAZA DR, EUSTIS, FL 32726-6523
(352) 589-5595
(352) 589-5747
Mailing address
443 PLAZA DR, EUSTIS, FL 32726-6523
(352) 589-5595
(352) 589-5747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
FL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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