Organization
RUSS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE E RUSS PTA (OWNER)
(479) 250-4014
Entity
Organization
Contact information
Practice address
1002 WESTPARK DR STE 6, BENTONVILLE, AR 72712-4283
(479) 250-4014
(479) 250-4015
Mailing address
1002 WESTPARK DR STE 6, BENTONVILLE, AR 72712-4283
(479) 250-4014
(479) 250-4015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/31/2015
Last updated
10/27/2023
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