Individual
ANNIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2005
(518) 926-2020
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2005
(518) 926-2020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042447
NY
Other
Enumeration date
11/16/2017
Last updated
11/07/2024
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