RUSTEM IXANOV

SANTA ROSA, CA
NPI1982771481
Other NameROUSTEM IXANOV
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 32358)
Enumeration Date2006-11-29
Last Update Date2021-11-16
Business Address
Mr. RUSTEM IXANOV MS,PT
3550 ROUND BARN BLVD # 112
SANTA ROSA, CA 95403-1796
Phone number: 707-566-5488
Mailing Address
Mr. RUSTEM IXANOV MS,PT
3550 ROUND BARN BLVD # 112
SANTA ROSA, CA 95403-1796
Phone number: 707-566-5488
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