ERICKA N RUSSELL

ADA, OK
NPI1336500974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  2580)
Enumeration Date2016-03-10
Last Update Date2016-03-10
Business Address
-- ERICKA N RUSSELL PTA
511 N MONTE VISTA ST
ADA, OK 74820-4611
Phone number: 580-436-3633
Mailing Address
-- ERICKA N RUSSELL PTA
511 N MONTE VISTA ST
ADA, OK 74820-4611
Phone number: 580-436-3633
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