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Dr. Emily Victoria Russell, PT, DPT

Physical Therapist in Austell, GA. Individual provider (NPI-1).

NPI number1033769740
StatusActive
Last updated in NPPESSep 14, 2019

Details

NPI
1033769740
Entity type
Individual (NPI-1)
Name
Dr. Emily Victoria Russell
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2019
Last updated
Sep 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT014185GAYes

Practice location

3999 Austell Rd Ste 701
Austell, GA 30106-0002

Phone 770-739-0090

Mailing address

3999 Austell Rd Ste 701
Austell, GA 30106-0002

Phone 770-739-0090

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