THERESA DELORES RUSSELL

PEYTON, CO
NPI1023372992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  12203)
Enumeration Date2012-06-26
Last Update Date2012-06-26
Business Address
Mrs. THERESA DELORES RUSSELL PTA
11577 RIO SECCO RD
PEYTON, CO 80831-4031
Phone number: 757-450-5773
Mailing Address
Mrs. THERESA DELORES RUSSELL PTA
11577 RIO SECCO RD
PEYTON, CO 80831-4031
Phone number: 757-450-5773
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