MR. Karl Joseph Russo, PTA

NPI #1831589969 in Glenolden, Pennsylvania

Provider Information

NPI Number: 1831589969
Entity Type: Individual
Name: MR. Karl Joseph Russo, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 27, 2015
Last Updated: Jan 28, 2015

Practice Location

Address: 901 W ASHLAND AVE
City: Glenolden
State: Pennsylvania
ZIP Code: 19036-1101
Phone: (610) 461-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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