Individual
JASMIN ELENA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1675 HIGHLAND AVE, MADISON, WI 53792-0002
(608) 263-7337
Mailing address
1675 HIGHLAND AVE, MADISON, WI 53792-0002
(203) 910-0432
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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