Karen Marie Russo
Physical Therapist in San Pedro, CA. Individual provider (NPI-1).
NPI number1982187985
StatusActive
Last updated in NPPESSep 14, 2018
Details
- NPI
- 1982187985
- Entity type
- Individual (NPI-1)
- Name
- Karen Marie Russo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2018
- Last updated
- Sep 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
916 N Western Ave Ste 205San Pedro, CA 90732-2435
Phone 310-779-3654
Mailing address
1654 Stonewood CtSan Pedro, CA 90732-1546
Phone 310-779-3654
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All 42 Physical Therapist providers in San Pedro · All 1,477 providers in San Pedro
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