RUSSEL WAYNE UNDERWOOD

HENRICO, VA
NPI1033453212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305207625)
Enumeration Date2012-11-12
Last Update Date2012-11-12
Business Address
-- RUSSEL WAYNE UNDERWOOD PT, DPT
1523 SPLIT OAK LN APT H
HENRICO, VA 23229-5295
Phone number: 804-288-2052
Mailing Address
-- RUSSEL WAYNE UNDERWOOD PT, DPT
1523 SPLIT OAK LN APT H
HENRICO, VA 23229-5295
Phone number: 804-288-2052
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