BRIAN SCOTT RUSS

LAKE WORTH, FL
NPI1417056821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT21672)
Enumeration Date2006-09-22
Last Update Date2020-11-20
Business Address
Mr. BRIAN SCOTT RUSS PT COMT
6169 S JOG RD STE A11
LAKE WORTH, FL 33467-6586
Phone number: 561-432-0111
Mailing Address
Mr. BRIAN SCOTT RUSS PT COMT
PO BOX 290370 SUITE A-11
FT LAUDERDALE, FL 33329-0370
Phone number: 954-262-4346