HEATHER CARROLL RUSSELL

RUCKERSVILLE, VA
NPI1093022014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305006648)
Enumeration Date2010-09-13
Last Update Date2010-09-13
Business Address
-- HEATHER CARROLL RUSSELL PT
1029 W DAFFODIL RD
RUCKERSVILLE, VA 22968-2403
Phone number: 434-985-1081
Mailing Address
-- HEATHER CARROLL RUSSELL PT
1029 W DAFFODIL RD
RUCKERSVILLE, VA 22968-2403
Phone number: 434-985-1081
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