Individual
MRS. ASHLEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1267 SOUTH HILL ROAD, ERIE, PA 16509
(814) 864-4087
(814) 868-0514
Mailing address
1267 S HILL RD, ERIE, PA 16509-4831
(814) 864-4087
(814) 868-0514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010127
PA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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