Individual
MS. BARBARA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2207 EMPIRE AVE, LOVELAND, CO 80538-3019
(970) 769-2556
Mailing address
2207 EMPIRE AVE, LOVELAND, CO 80538-3019
(970) 769-2556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5343
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12423726
—
CO
Enumeration date
07/27/2006
Last updated
07/21/2014
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