MS. JACQUELYN RUSSELL, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1851661185
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | PTA 2166 (FL) |
Frequently Asked Questions
NPI 1851661185 is the National Provider Identifier for MS. JACQUELYN RUSSELL, PTA, a Physical Therapy Assistant provider located in Fort Myers, FL. This NPI was enumerated on January 3, 2012.
MS. JACQUELYN RUSSELL, PTA practices at 3728 LUVERNE ST, Fort Myers, FL 33901.
Quick Facts
- NPI
- 1851661185
- Type
- Individual
- Enumerated
- Jan 3, 2012
- Last Updated
- Jan 3, 2012
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