SHANNON LOUISE RUSSELL

AUSTIN, TX
NPI1346647351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: TX  1233729)
Enumeration Date2014-11-20
Last Update Date2022-11-17
Business Address
Mrs. SHANNON LOUISE RUSSELL PT, DPT
4419 FRONTIER TRL STE 101
AUSTIN, TX 78745-1567
Phone number: 512-766-2649
Mailing Address
Mrs. SHANNON LOUISE RUSSELL PT, DPT
4419 FRONTIER TRL STE 101
AUSTIN, TX 78745-1567
Phone number: 512-766-2649
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