MR. Roger Jay Russell, PT
NPI #1871576439 in Walla Walla, Washington
Provider Information
- NPI Number
- 1871576439
- Entity Type
- Individual
- Name
- MR. Roger Jay Russell, PT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 28, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 124 STONE ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4169
- Phone
- (509) 529-5977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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