Individual
ANNALARSA WALKER RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
139 FIDDLERS RUN BLVD, MORGANTON, NC 28655
(828) 437-1786
(828) 438-4032
Mailing address
139 FIDDLERS RUN BLVD, MORGANTON, NC 28655
(828) 437-1786
(828) 438-4032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10782
NC
2251X0800X
Orthopedic Physical Therapist
10782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10782
PT LICENSE
NC
Enumeration date
01/24/2007
Last updated
01/26/2023
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