RUSSELL PEARSON

HAZLETON, PA
NPI1285973925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE1000300)
Enumeration Date2013-01-31
Last Update Date2013-01-31
Business Address
-- RUSSELL PEARSON
1000 STACIE DR
HAZLETON, PA 18201-5690
Phone number: 570-453-5110
Mailing Address
-- RUSSELL PEARSON
70 DEAD END LN
LEHIGHTON, PA 18235-9564
Phone number: