Individual
JUSTIN LEE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6 REDWING RD, ENFIELD, CT 06082-5715
(860) 519-3521
Mailing address
6 REDWING RD, ENFIELD, CT 06082-5715
(860) 519-3521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001269
CT
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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