Individual
RUSSELL DIMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
52900 GARFIELD RD, MACOMB, MI 48042-3573
(586) 991-1399
(586) 218-3111
Mailing address
52900 GARFIELD RD, MACOMB, MI 48042-3573
(586) 991-1399
(586) 218-3111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008755
MI
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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