Individual
DAVID SCOTT RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 NAGLE RD, ERIE, PA 16510-2189
(814) 877-7078
Mailing address
2101 NAGLE RD, ERIE, PA 16510-2189
(814) 877-7078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030747
PA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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