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1417056821
BRIAN SCOTT RUSS
LAKE WORTH, FL
NPI
1417056821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT21672)
Enumeration Date
2006-09-22
Last Update Date
2020-11-20
Business Address
Mr. BRIAN SCOTT RUSS PT COMT
6169 S JOG RD STE A11
LAKE WORTH, FL 33467-6586
Phone number: 561-432-0111
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Mailing Address
Mr. BRIAN SCOTT RUSS PT COMT
PO BOX 290370 SUITE A-11
FT LAUDERDALE, FL 33329-0370
Phone number: 954-262-4346
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