MR. Mark William Russell, P.T.A.
NPI #1437314366 in Edenton, North Carolina
Provider Information
- NPI Number
- 1437314366
- Entity Type
- Individual
- Name
- MR. Mark William Russell, P.T.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- P.T.A.
- Enumeration Date
- Jul 21, 2008
- Last Updated
- Jul 21, 2008
Practice Location
- Address
- 108 SCHOONER LANDING DR
- City
- Edenton
- State
- North Carolina
- ZIP Code
- 27932-8833
- Phone
- (252) 632-4137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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