| 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 |