Individual
RUSSELL MAMORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 SE 11TH CT, FORT LAUDERDALE, FL 33316-1111
(954) 665-7806
Mailing address
1811 JEFFERSON ST, SUITE 707, HOLLYWOOD, FL 33020-5406
(954) 665-7806
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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