SANDI LYNN RUSSOM

AUSTIN, TX
NPI1033654652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1278988)
Enumeration Date2017-01-05
Last Update Date2017-01-05
Business Address
-- SANDI LYNN RUSSOM P.T.
3707 MANCHACA RD APT 124
AUSTIN, TX 78704-6708
Phone number: 901-233-3564
Mailing Address
-- SANDI LYNN RUSSOM P.T.
3707 MANCHACA RD APT 124
AUSTIN, TX 78704-6708
Phone number: 901-233-3564
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