Jacqueline Russo
NPI #1750860458 in Auburndale, Massachusetts
Provider Information
- NPI Number
- 1750860458
- Entity Type
- Individual
- Name
- Jacqueline Russo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Aug 13, 2018
- Last Updated
- Aug 13, 2018
Practice Location
- Address
- 120 SEMINARY AVE
- City
- Auburndale
- State
- Massachusetts
- ZIP Code
- 02466-2650
- Phone
- (617) 633-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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