Individual
REX RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 NORTH MAIN, AUGUSTA, AR 72012
(870) 347-2600
Mailing address
202 N PEAR ST, SEARCY, AR 72143-5273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4861
AR
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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