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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY DIANE RUSIN, PTA

Active

SHELLY DIANE RUSIN, PTA is a Occupational Therapist healthcare provider located in WAVERLY, New York. NPI 1891287967 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WAVERLY, NY

Registration Details

NPI Number
1891287967
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2018 (8.161177035806 yrs)
Last Updated
Jun 4, 2018
License
010552-1 (NY)

Practice Information

Address
37 N CHEMUNG ST
WAVERLY, NY, 148921211
Browse NY providers · Browse ZIP 14892
Phone
6075656259
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WAVERLY, NY

Name Credential NPI
MRS. LORI ANN BUFFONE PTA 1750520250
JULIANE C KOEHLER PTA 1184117665
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.