Individual
JOSE BENJAMIN F RUSTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 W RUSSELL ST, SALINE, MI 48176-1184
(734) 429-9401
Mailing address
1531 NATALIE LN APT 302, ANN ARBOR, MI 48105-2935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017663
MI
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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