NICHOLAS ANDREW RUSSELL

SHREVEPORT, LA
NPI1548817273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10340)
Enumeration Date2019-08-19
Last Update Date2019-08-19
Business Address
NICHOLAS ANDREW RUSSELL DPT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
Mailing Address
NICHOLAS ANDREW RUSSELL DPT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2962
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