Individual
SONYA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 BALD HILL LOOP, MADISON, NC 27025-7624
(336) 548-9658
Mailing address
4032 NC HIGHWAY 704, MADISON, NC 27025-7848
(336) 590-3459
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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