Individual
NATHALY JOHANNA RUSINQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
7451 WILES RD STE 203, CORAL SPRINGS, FL 33067-2040
(954) 906-5754
(954) 227-3566
Mailing address
9826 NW 57TH MNR, CORAL SPRINGS, FL 33076-2821
(954) 249-6268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17211
FL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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