Marly L Russell, PTA
NPI #1821767690 in Cherokee Village, Arkansas
Provider Information
- NPI Number
- 1821767690
- Entity Type
- Individual
- Name
- Marly L Russell, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 7, 2021
- Last Updated
- Sep 7, 2021
Practice Location
- Address
- 31 CHOCTAW CENTER
- City
- Cherokee Village
- State
- Arkansas
- ZIP Code
- 72529
- Phone
- (870) 856-4325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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