Individual
FRANK T RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1621 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2229
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052834
NY
225100000X
Physical Therapist
12580
SC
Other
Enumeration date
09/18/2024
Last updated
09/23/2024
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