Timothy A Russell
Physical Therapist in Royal Palm Beach, FL. Individual provider (NPI-1).
NPI number1013264530
StatusActive
Last updated in NPPESMay 25, 2020
Details
- NPI
- 1013264530
- Entity type
- Individual (NPI-1)
- Name
- Timothy A Russell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2012
- Certification date
- May 25, 2020
- Last updated
- May 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT27587 | FL | Yes |
Practice location
11482 Okeechobee BlvdSuite 2
Royal Palm Beach, FL 33411-8735
Phone 561-432-0111 · Fax 561-432-1075
Mailing address
6169 S Jog RdSuite A11
Lake Worth, FL 33467-6579
Phone 561-432-0111 · Fax 561-432-1075
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All 51 Physical Therapist providers in Royal Palm Beach · All 1,170 providers in Royal Palm Beach
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