Individual
DENISE DUKES RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 ENTERPRISE DR, BILOXI, MS 39531-4039
(228) 385-3385
(601) 790-6416
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT741
MS
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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