Individual
KIMBERLY A. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
126 PHOENIX AVE, LOWELL, MA 01852-4931
(978) 453-8331
(978) 453-9254
Mailing address
126 PHOENIX AVE, LOWELL, MA 01852-4931
(978) 453-8331
(978) 453-9254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13132
MA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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