Individual
CAROLYN ELAINE RUSSELL-CANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
516 N ROLLING RD, STE 302, CATONSVILLE, MD 21228-4140
(410) 744-1666
(410) 788-9755
Mailing address
3179 BRAVERTON ST, STE 201, EDGEWATER, MD 21037-2667
(800) 793-5464
(267) 321-2099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23328
MD
Other
Enumeration date
07/08/2010
Last updated
05/10/2017
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