WAYNE JUDE RUSSELL

CHARLOTTE, NC
NPI1891009064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P12770)
Enumeration Date2010-07-30
Last Update Date2023-12-27
Business Address
WAYNE JUDE RUSSELL DPT
8705 PHILLIPS ROAD
CHARLOTTE, NC 28223-0001
Phone number: 704-687-1829
Mailing Address
WAYNE JUDE RUSSELL DPT
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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