GRACE JEWELL RUSSO

DURHAM, NC
NPI1245058072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P22248)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
GRACE JEWELL RUSSO PT, DPT
1821 HILLANDALE RD STE 25B
DURHAM, NC 27705-2671
Phone number: 919-660-6628
Mailing Address
GRACE JEWELL RUSSO PT, DPT
811 148TH CT NE
BRADENTON, FL 34212-5601
Phone number: 816-654-4708