DAN RUSSO

MONROE, WI
NPI1881828218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11148-24)
Enumeration Date2009-05-13
Last Update Date2009-05-13
Business Address
-- DAN RUSSO PT
515 22ND AVE
MONROE, WI 53566-1569
Phone number: 608-324-2770
Mailing Address
-- DAN RUSSO PT
515 22ND AVE
MONROE, WI 53566-1569
Phone number: