Abigail Russell

NPI #1750491817 in Monroe, Georgia

Provider Information

NPI Number: 1750491817
Entity Type: Individual
Name: Abigail Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 142 GA STATE HIGHWAY 138
City: Monroe
State: Georgia
ZIP Code: 30655
Phone: (770) 207-1137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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