MRS. Gail Lyn Russell, LPTA

NPI #1124220082 in Oblong, Illinois

Provider Information

NPI Number: 1124220082
Entity Type: Individual
Name: MRS. Gail Lyn Russell, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jun 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5224 N. 200TH ST
City: Oblong
State: Illinois
ZIP Code: 62449
Phone: (618) 592-6353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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