ELIZABETH DIANE RUSSELL

BENTON, AR
NPI1609994813
Former NameELIZABETH DIANE MORROW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  3111)
Enumeration Date2007-03-26
Last Update Date2010-11-29
Business Address
-- ELIZABETH DIANE RUSSELL PT
5407 UNION SQ
BENTON, AR 72019-6898
Phone number: 205-394-0120
Mailing Address
-- ELIZABETH DIANE RUSSELL PT
5407 UNION SQ
BENTON, AR 72019-6898
Phone number: 205-394-0120
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