ANTHONY J RUSSO

ORANGE PARK, FL
NPI1861990657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA28155)
Enumeration Date2018-01-26
Last Update Date2018-01-26
Business Address
ANTHONY J RUSSO PTA
2300 PARK AVE STE 203
ORANGE PARK, FL 32073-5573
Phone number: 904-634-0640
Mailing Address
ANTHONY J RUSSO PTA
6500 BOWDEN RD STE 103
JACKSONVILLE, FL 32216-8066
Phone number: 904-634-0640
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