Individual
MS. MARCI SAMANTHA RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2655
Mailing address
660 WASHINGTON ST, #8 E, BOSTON, MA 02111
(617) 947-4991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17032
MA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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