Russell D Berry, LPTA

NPI #1972716512 in Mangum, Oklahoma

Provider Information

NPI Number
1972716512
Entity Type
Individual
Name
Russell D Berry, LPTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
May 8, 2007
Last Updated
Mar 29, 2010

Practice Location

Address
1 WICKERSHAM ST
City
Mangum
ZIP Code
73554-9117
Phone
(580) 782-3353

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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