Individual
LAUREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
102 IRVING STREET, NW, WASHINGTON, DC 20010
(202) 877-1350
Mailing address
102 IRVING STREET, NW, WASHINGTON, DC 20010
(202) 877-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870657
DC
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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