RUSSELL BALISACAN COTIN

SMYRNA, DE
NPI1861129280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: DE  J1-0004120)
Enumeration Date2022-08-05
Last Update Date2022-08-05
Business Address
RUSSELL BALISACAN COTIN PT
33 DEAK DR STE 101
SMYRNA, DE 19977-1268
Phone number: 302-659-5700
Mailing Address
RUSSELL BALISACAN COTIN PT
33 DEAK DR STE 101
SMYRNA, DE 19977-1268
Phone number:
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