MISS Terra Nicole Russell, PTA

NPI #1821340928 in Uniontown, Pennsylvania

Provider Information

NPI Number
1821340928
Entity Type
Individual
Name
MISS Terra Nicole Russell, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Oct 12, 2012
Last Updated
Oct 12, 2012

Practice Location

Address
520 W MAIN ST
ZIP Code
15401-2602
Phone
(724) 430-1128

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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