JACOB AARON RUSSELL

BENTON, IL
NPI1356228142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070029347)
Enumeration Date2025-08-21
Last Update Date2025-08-28
Business Address
Dr. JACOB AARON RUSSELL PT, DPT
1104 W MAIN ST
BENTON, IL 62812-1565
Phone number: 618-439-3399
Mailing Address
Dr. JACOB AARON RUSSELL PT, DPT
1104 W MAIN ST
BENTON, IL 62812-1565
Phone number: 618-439-3399
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