| NPI | 1922435536 |
|---|---|
| Former Name | MARISSA RUSIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01518200) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01518200) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2018-03-12 |