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Individual

RUSSELL SALMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AT

Contact information

Practice address
345 HEALTHWEST DR, DOTHAN, AL 36303-2053
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2255A2300X
Athletic Trainer
1515
AL

Other

Enumeration date
08/20/2013
Last updated
02/12/2018
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