LISA A RUSSELL

ATHENS, TN
NPI1225108046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  PTA0000003858)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
-- LISA A RUSSELL PTA
1204 FRYE ST
ATHENS, TN 37303
Phone number: 423-745-0434
Mailing Address
-- LISA A RUSSELL PTA
204 ARRANTS AVE
DECATUR, TN 37322-7971
Phone number: 423-745-0434
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