Brian Ray Russell, DPT

NPI #1497039812 in West Monroe, Louisiana

Provider Information

NPI Number
1497039812
Entity Type
Individual
Name
Brian Ray Russell, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Oct 4, 2011
Last Updated
Oct 4, 2011

Practice Location

Address
107 SUMMER LN
ZIP Code
71291-3501
Phone
(318) 396-1969

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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