SHAVONNE M RUSSELL

RICHMOND, VA
NPI1053635268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306601563)
Enumeration Date2010-03-16
Last Update Date2010-03-16
Business Address
-- SHAVONNE M RUSSELL PTA
212 BILOXI RD
RICHMOND, VA 23223-3310
Phone number: 804-326-9245
Mailing Address
-- SHAVONNE M RUSSELL PTA
212 BILOXI RD
RICHMOND, VA 23223-3310
Phone number: 804-326-9245
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