Individual
MAUREEN T RUSSO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
720 S DUBUQUE ST, IOWA CITY, IA 52240-4266
(319) 354-7511
Mailing address
720 S DUBUQUE ST, IOWA CITY, IA 52240-4266
(319) 354-7511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01505
IA
225100000X
Physical Therapist
10191
CA
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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