Timothy A Russell
Timothy A Russell is a Physical Therapist in Royal Palm Beach, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
Practice location Address checks out
11482 Okeechobee Blvd Ste 2Royal Palm Beach, FL 33411-8735
Phone: (561) 432-0111
Fax: (561) 432-1075
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT27587 (FL) |
|---|
Record details
| NPI number | 1013264530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 15, 2012 |
| Last updated in NPPES | May 25, 2020 |
| Certification date | May 25, 2020 |
| Mailing address | 6169 S Jog Rd, Suite A11, Lake Worth, FL 33467-6579 |
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