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1003224098
SCOTT RUSSELL
NORTH CANTON, OH
NPI
1003224098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.08862)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
-- SCOTT RUSSELL LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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Mailing Address
-- SCOTT RUSSELL LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number:
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