JACQUELYN ANN RUSSELL

FORT MYERS, FL
NPI1851661185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  pta 2166)
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
Ms. JACQUELYN ANN RUSSELL pta
3728 LUVERNE ST
FORT MYERS, FL 33901-8426
Phone number: 239-357-9707
Mailing Address
Ms. JACQUELYN ANN RUSSELL pta
3728 LUVERNE ST
FORT MYERS, FL 33901-8426
Phone number: 239-357-9707
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