Kelly Russell, DPT

NPI #1225865322 in West Babylon, New York

Provider Information

NPI Number
1225865322
Entity Type
Individual
Name
Kelly Russell, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Sep 14, 2024
Last Updated
Sep 14, 2024

Practice Location

Address
715 SUNRISE HWY
ZIP Code
11704-6004
Phone
(516) 475-2614

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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