| NPI | 1396975215 | 
|---|---|
| Former Name | LYNN MARCELLA RUSHING | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305206084) | 
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic | 
| Enumeration Date | 2009-07-27 | 
| Last Update Date | 2020-10-10 |