Individual
MR. RUSSELL LYLE DARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
907 N GOLIAD ST STE 1, ROCKWALL, TX 75087-2230
(972) 232-2310
(972) 232-2310
Mailing address
1028 REDWOOD TRL, ROCKWALL, TX 75087-6102
(972) 532-6552
(972) 232-2310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1110690
TX
2251X0800X
Orthopedic Physical Therapist
Primary
1110690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1110690
EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
04/25/2017
Last updated
11/05/2018
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