MRS. Sonea Maria Russell, PTA

NPI #1679793038 in Flowery Branch, Georgia

Provider Information

NPI Number
1679793038
Entity Type
Individual
Name
MRS. Sonea Maria Russell, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
WILLOWOOD NURSING CENTER
Address 2
4595 CANTRELL ROAD
State
Georgia
ZIP Code
30542
Phone
(770) 965-1484

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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