MATTHEW THOMAS RUSSELL

YORKTOWN HEIGHTS, NY
NPI1407989445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  001809-1)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
Mr. MATTHEW THOMAS RUSSELL PTA
3535 HILL BLVD SUITE P
YORKTOWN HEIGHTS, NY 10598-1293
Phone number: 914-962-2728
Mailing Address
Mr. MATTHEW THOMAS RUSSELL PTA
PO BOX 673
GOSHEN, NY 10924-0673
Phone number: 845-294-5065