Individual
JUSTINE NIKOLE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS WAY, MEXICO, MO 65265-3379
(573) 581-1088
Mailing address
5318 COUNTY ROAD 2635, CLARK, MO 65243-3363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018035290
MO
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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