Russell Wright
Physical Therapy Assistant in Jonesboro, GA. Individual provider (NPI-1).
NPI number1407613359
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1407613359
- Entity type
- Individual (NPI-1)
- Name
- Russell Wright
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2024
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA005147 | GA | Yes |
Practice location
8098 Autumn Forest DrJonesboro, GA 30236-3907
Phone 404-867-3690
Mailing address
8098 Autumn Forest DrJonesboro, GA 30236-3907
Phone 404-867-3690
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Other Physical Therapy Assistant providers in Jonesboro, GA
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- Jasmin SpencerNPI 1952045940
All 8 Physical Therapy Assistant providers in Jonesboro · All 1,354 providers in Jonesboro
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