Individual
CHRISTINA NOEL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
310 WENDELL AVE, LEWISTOWN, MT 59457-2267
(406) 535-5157
Mailing address
223 CEDAR ST, LEWISTOWN, MT 59457-3210
(406) 538-3487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2262
MT
225200000X
Physical Therapy Assistant
AT2756
CA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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