NICHOLAS RUSSO

SURPRISE, AZ
NPI1053915819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225100000X Physical Therapist
(Licence: FL  PT36549)
Enumeration Date2020-11-23
Last Update Date2024-05-10
Business Address
NICHOLAS RUSSO
16811 N LITCHFIELD RD STE 101
SURPRISE, AZ 85374-7062
Phone number: 602-313-4045
Mailing Address
NICHOLAS RUSSO
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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