Individual
GIANA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
784 FRANKLIN AVE STE 230, FRANKLIN LAKES, NJ 07417-1306
(201) 389-9462
Mailing address
18 RIVER DELL, OAKLAND, NJ 07436-2300
(973) 800-6595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02155900
NJ
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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