Individual
JEANINE RENEE RUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 120, MATTHEWS, NC 28105-2387
(704) 323-3208
(704) 323-3911
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2256
(704) 323-3911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10048
NC
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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