MRS. Jennifer F Russo, M.S., P.T.

NPI #1700062577 in North Bellmore, New York

Provider Information

NPI Number: 1700062577
Entity Type: Individual
Name: MRS. Jennifer F Russo, M.S., P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: M.S., P.T.
Enumeration Date: Jan 11, 2008
Last Updated: Feb 8, 2013

Practice Location

Address: 967 NEWBRIDGE RD
City: North Bellmore
State: New York
ZIP Code: 11710-1620
Phone: (516) 220-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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