Sandi Lynn Russom, P.T.

NPI #1033654652 in Austin, Texas

Provider Information

NPI Number: 1033654652
Entity Type: Individual
Name: Sandi Lynn Russom, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jan 5, 2017
Last Updated: Jan 5, 2017

Practice Location

Address: 3707 MANCHACA RD APT 124
City: Austin
State: Texas
ZIP Code: 78704-6708
Phone: (901) 233-3564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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