Individual
MARCI KAE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1930 W GARY BLVD, CLINTON, OK 73601-3838
(580) 323-8778
Mailing address
1930 W GARY BLVD, CLINTON, OK 73601-3838
(580) 323-8778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2547
OK
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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