Individual
PROF. RUSSELL WAYNE GUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 PARK WEST DR, SUITE B, SCOTT, LA 70583-8902
(337) 769-1556
(337) 769-1557
Mailing address
PO BOX 61651, LAFAYETTE, LA 70596-1651
(337) 412-6146
(337) 504-2884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04809
LA
Other
Enumeration date
05/06/2006
Last updated
09/05/2012
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