RUSSELL WRIGHT

JONESBORO, GA
NPI1407613359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA005147)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
RUSSELL WRIGHT
8098 AUTUMN FOREST DR
JONESBORO, GA 30236-3907
Phone number: 404-867-3690
Mailing Address
RUSSELL WRIGHT
8098 AUTUMN FOREST DR
JONESBORO, GA 30236-3907
Phone number: 404-867-3690