ROGER JAY RUSSELL

WALLA WALLA, WA
NPI1871576439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  2152)
Enumeration Date2005-11-28
Last Update Date2007-07-08
Business Address
Mr. ROGER JAY RUSSELL PT
124 STONE ST
WALLA WALLA, WA 99362-4169
Phone number: 509-529-5977
Mailing Address
Mr. ROGER JAY RUSSELL PT
124 STONE ST
WALLA WALLA, WA 99362-4169
Phone number: 509-529-5977
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