Lisa A Russell, PTA

NPI #1225108046 in Athens, Tennessee

Provider Information

NPI Number
1225108046
Entity Type
Individual
Name
Lisa A Russell, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Nov 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1204 FRYE ST
City
Athens
ZIP Code
37303
Phone
(423) 745-0434

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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