Individual
MRS. MONICA L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
133 JORDAN LN, PARSONS, TN 38363-5078
(731) 847-7240
(731) 660-5972
Mailing address
320 MAYFIELD RD, HENDERSON, TN 38340-4063
(731) 989-9814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2366
TN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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