Individual
ANDERSON RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
404 WASHINGTON AVE STE 120, MIAMI BEACH, FL 33139-6651
(305) 479-2973
(305) 735-7662
Mailing address
404 WASHINGTON AVE STE 120, MIAMI BEACH, FL 33139-6651
(305) 479-2973
(305) 735-7662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36374
FL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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