RUSSELL NORTHRUP

SAN ANTONIO, TX
NPI1982067740
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1177613)
Enumeration Date2016-03-30
Last Update Date2016-03-30
Business Address
-- RUSSELL NORTHRUP PT
841 RICE RD
SAN ANTONIO, TX 78220-3513
Phone number: 210-648-0101
Mailing Address
-- RUSSELL NORTHRUP PT
6115 FOREST TIMBER ST
SAN ANTONIO, TX 78240-3357
Phone number:
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