Individual
MR. JAMES ANTHONY PRUSSACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1070 HERMES AVE, ENCINITAS, CA 92024-1703
(760) 271-3850
(760) 635-0153
Mailing address
1070 HERMES AVE, ENCINITAS, CA 92024-1703
(760) 271-3850
(760) 635-0153
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
27277
CA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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