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Contact Information

ROBERT R BUSSELL X, PT
813 COURT STREET
STE 2
JACKSON, CA95642
 Phone: 209-223-3250
 Fax: 209-223-2517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ROBERT R BUSSELL X · (Male)

NPI Number 1316996747
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # PT 471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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