Individual
ANTHONY DIRUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10095 HILLVIEW DR, PENSACOLA, FL 32514-5428
(850) 479-4000
Mailing address
1423 E BRAINERD ST, PENSACOLA, FL 32503-6037
(850) 525-9397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16054
FL
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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