Individual
MR. IAIN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 N MOUNTAIN AVE STE 310, UPLAND, CA 91786-5182
(909) 920-6457
(909) 920-9160
Mailing address
PO BOX 3405, RANCHO CUCAMONGA, CA 91729-3405
(909) 920-6457
(909) 920-9160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4721
CA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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