Russell Pearson

NPI #1285973925 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1285973925
Entity Type: Individual
Name: Russell Pearson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 31, 2013
Last Updated: Jan 31, 2013

Practice Location

Address: 1000 STACIE DR
City: Hazleton
State: Pennsylvania
ZIP Code: 18201-5690
Phone: (570) 453-5110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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