Individual
MR. RUSSELL FRANCIS BYRNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1377 11TH ST NW, CLINTON, IA 52732-5068
(563) 241-4230
(563) 241-4233
Mailing address
2701 N FILLMORE ST, DAVENPORT, IA 52804-1832
(563) 514-0271
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
03157
IA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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