Individual
MRS. HOLLY ROXANNE RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
(618) 998-9993
Mailing address
720 COUNTY ROAD 1435 N, CARMI, IL 62821-4827
(618) 382-3986
(618) 382-3986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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