Individual
MR. WILLIAM JOSEPH RUSSELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
12001 PACIFIC AVE S STE 101, TACOMA, WA 98444-5101
(253) 531-8595
(253) 531-6607
Mailing address
12001 PACIFIC AVE S STE 101, TACOMA, WA 98444-5101
(253) 531-8595
(253) 531-6607
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008063
WA
Other
Enumeration date
08/20/2007
Last updated
02/09/2010
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