Individual
ANDREW DAVID RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2481 LINCOLN HWY E, SUITE 4, LANCASTER, PA 17602-1482
(717) 925-2100
(717) 390-1953
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020451
PA
Other
Enumeration date
03/17/2010
Last updated
07/03/2013
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