Individual
DR. ELISABETH MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4107 N HIMES AVE, STE 110, TAMPA, FL 33607-6655
(813) 874-1009
(813) 872-6717
Mailing address
8219 SOLANO BAY LOOP, APT 1033, TAMPA, FL 33635-9573
(585) 281-4754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31564
FL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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