DANIELLE RUSSAK

COLORADO SPRINGS, CO
NPI1346617016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  0013678)
Enumeration Date2015-08-28
Last Update Date2015-08-28
Business Address
-- DANIELLE RUSSAK
8540 SCARBOROUGH DR
COLORADO SPRINGS, CO 80920-7502
Phone number: 719-630-7500
Mailing Address
-- DANIELLE RUSSAK
462 WARPATH ROAD
JEFFERSON, CO 80456
Phone number:
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