DAVID JOSEPH KUSTRON

ELKHART, IN
NPI1013116391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003421A)
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
-- DAVID JOSEPH KUSTRON PTA
2600 MOREHOUSE AVE
ELKHART, IN 46517-2552
Phone number: 574-295-8800
Mailing Address
-- DAVID JOSEPH KUSTRON PTA
59568 RIDGEWOOD DR
GOSHEN, IN 46528-9059
Phone number:
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