Timothy A Russell DPT

NPI 1013264530 - Physical Therapist - 225100000X

NPI Details
NPI 1013264530
Gender Male
Enumeration Date 08/15/2012
Last Updated 02/05/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
11482 OKEECHOBEE BLVD
SUITE 2
ROYAL PALM BEACH FL, 33411-8735, US
Phone (561) 432-0111
Fax (561) 432-1075
Business Location
6169 S JOG RD
SUITE A11
LAKE WORTH FL, 33467-6579, US
Phone (561) 432-0111
Fax (561) 432-1075
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PT27587
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According to our database, Mr. Timothy A Russell DPT NPI is 1013264530, taxonomy code is 225100000X and license number is PT27587, license state is located at Florida. Timothy A Russell DPT physically located at 11482 Okeechobee Blvd, Royal Palm Beach FL, 33411-8735. NPI Number Timothy A Russell DPT has the Individual type.

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1013264530 NPI number is provided on an as is basis without warranty of any kind. 1013264530 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy A Russell DPT are for informational purposes only.