Organization
RUSS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA B RUSS PT (PHYSICAL THERAPIST)
(479) 250-4014
Entity
Organization
Contact information
Practice address
1002 WESTPARK DR, STE 6, BENTONVILLE, AR 72712-4173
(479) 250-4014
(479) 250-4015
Mailing address
1002 WESTPARK DR, STE 6, BENTONVILLE, AR 72712-4173
(479) 250-4014
(479) 250-4015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2874
AR
Other
Enumeration date
06/30/2014
Last updated
01/23/2017
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