Individual
JOHANNA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
45 SCHOOL STREET, GROUND FLOOR, BOSTON, MA 02108
(857) 285-2955
(857) 305-3393
Mailing address
45 SCHOOL STREET, GROUND FLOOR, BOSTON, MA 02108
(857) 285-2955
(857) 305-3393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20730
MA
Other
Enumeration date
09/13/2013
Last updated
04/12/2022
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