Amanda Didawick Russell
NPI #1124795802 in Spring Lake, North Carolina
Provider Information
- NPI Number
- 1124795802
- Entity Type
- Individual
- Name
- Amanda Didawick Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 30, 2021
- Last Updated
- Feb 1, 2023
Practice Location
- Address
- 103 SLEEPY DR STE G
- City
- Spring Lake
- State
- North Carolina
- ZIP Code
- 28390-3319
- Phone
- (910) 423-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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