AMY RUSSELL

RIDGELAND, MS
NPI1700066636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT1699)
Enumeration Date2007-11-08
Last Update Date2007-11-08
Business Address
-- AMY RUSSELL RPT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- AMY RUSSELL RPT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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