JUSTIN LEE RUSH

ENFIELD, CT
NPI1619456290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  001269)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
JUSTIN LEE RUSH ATC
6 REDWING RD
ENFIELD, CT 06082-5715
Phone number: 860-519-3521
Mailing Address
JUSTIN LEE RUSH ATC
6 REDWING RD
ENFIELD, CT 06082-5715
Phone number: 860-519-3521