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Individual

NICHOLAS JOSEPH RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
66114
OR
225100000X
Physical Therapist
Primary
PT36549
FL
225100000X
Physical Therapist
Primary
AZ

Other

Enumeration date
11/23/2020
Last updated
06/19/2026
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