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Search › Missouri › 208100000X

Mary Russell

NPI 1316460389 · on the registry since 2017

Practice

Address
144 Evergreen Pkwy
Lebanon, MO 65536
Phone
(217) 222-6800
Fax
(636) 528-7335
Organisation at this address
Arc Physical Therapy Plus Lp
Advance Physical Therapy & Sports Medicine Of Lebanon, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-07-21

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 Missouri