Individual
STACY LYN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
902 S LOOP 499, APT V8, HARLINGEN, TX 78550-2515
(309) 303-8000
Mailing address
902 S LOOP 499, APT V8, HARLINGEN, TX 78550-2515
(309) 303-8000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057-002373
IL
224Z00000X
Occupational Therapy Assistant
2007012402
MO
224Z00000X
Occupational Therapy Assistant
Primary
210607
TX
Other
Enumeration date
08/25/2007
Last updated
02/03/2010
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