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Individual
KATHRYN RUSSELL
Active
Individual
KATHRYN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
303967
CA
2251X0800X
Orthopedic Physical Therapist
32450
AZ
Other
Enumeration date
08/02/2022
Last updated
05/04/2023
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