Individual
BRYLEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 W MAIN ST. SERENE PELVIC PHYSICAL THERAPY, SUITE 4, TUTTLE, OK 73089
(405) 463-4634
Mailing address
460 N PEBBLE CREEK TERRANCE, APT 302, MUSTANG, OK 73064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4022
OK
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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