MR. Gyles Donald Russell, PT

NPI #1205990827 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1205990827
Entity Type: Individual
Name: MR. Gyles Donald Russell, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 800 OAK RIDGE TPKE
Address 2: SUITE C 102
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-6957
Phone: (865) 483-7790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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