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Individual

MRS. NANCY J RUSSELL

Active
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Individual

MRS. NANCY J RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008393
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
157404
DEPT. OF LABOR AND INDUST
WA
01
5872RU
REGENCE BS
WA
01
650022435
R/R MED KC
WA
01
650022436
R/R MED PC
WA
05
8334070
WA
01
8936357
CRIME VICTIMS
WA
Enumeration date
08/18/2005
Last updated
07/17/2015
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