Individual
CHRISTINE M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10680 W MAIN RD, NORTH EAST, PA 16428-2226
(814) 725-4808
(814) 725-5002
Mailing address
404 BAKER AVE, ERIE, PA 16511-2304
(814) 824-4346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-015047-L
PA
Other
Enumeration date
01/10/2006
Last updated
01/21/2020
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