Nicholas Russell

NPI #1013487271 in Holland, Michigan

Provider Information

NPI Number
1013487271
Entity Type
Individual
Name
Nicholas Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
Nov 30, 2018
Last Updated
Nov 30, 2018

Practice Location

Address
602 MICHIGAN AVE
ZIP Code
49423-4918
Phone
(616) 392-5141

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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