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Theresa Russell, PTA
NPI 1023372992 · on the registry since 2012
Practice
- Address
- 11577 Rio Secco Rd
Peyton, CO 80831 - Phone
- (757) 450-5773
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado