Brian Joseph Russon, M.S.P.T.ATC
NPI #1295731594 in Monroe, Washington
Provider Information
- NPI Number
- 1295731594
- Entity Type
- Individual
- Name
- Brian Joseph Russon, M.S.P.T.ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- M.S.P.T.ATC
- Enumeration Date
- Jun 22, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14841 179TH AVE SE
- Address 2
- SUITE 340
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1161
- Phone
- (360) 794-7520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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