Individual
KELLY MARIE RUSCIN-FEUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
215 W BOWERY ST, AKRON, OH 44308-1069
(440) 543-2114
Mailing address
5715 HAVERHILL AVE, PARMA, OH 44129-4221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011056
OH
2255A2300X
Athletic Trainer
AT.002636
OH
Other
Enumeration date
06/12/2007
Last updated
01/16/2020
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