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Shavonne Russell, PTA
NPI 1053635268 · on the registry since 2010 · sole proprietor
Practice
- Address
- 212 Biloxi Rd
Richmond, VA 23223 - Phone
- (804) 326-9245
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-16
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 Virginia