DR. Joseph Russo, PT, DPT, ATC

NPI #1104215441 in South Elgin, Illinois

Provider Information

NPI Number: 1104215441
Entity Type: Individual
Name: DR. Joseph Russo, PT, DPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC
Enumeration Date: Jan 9, 2015
Last Updated: Feb 8, 2024

Practice Location

Address: 486 RANDALL RD
City: South Elgin
State: Illinois
ZIP Code: 60177-3353
Phone: (224) 783-6128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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