Individual
MARIA E RUSSOMANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1605 E RIVER RD STE 201, TUCSON, AZ 85718-5973
(520) 884-4292
(520) 867-6681
Mailing address
1777 W SAINT MARYS RD, TUCSON, AZ 85745-2687
(502) 884-4292
(520) 867-6681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305210207
VA
225100000X
Physical Therapist
Primary
LPT-012380
AZ
Other
Enumeration date
07/11/2016
Last updated
04/05/2019
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