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Mark Russell, P.T.A
NPI 1437314366 · on the registry since 2008 · sole proprietor
Practice
- Address
- 108 Schooner Landing Dr
Edenton, NC 27932 - Phone
- (252) 632-4137
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-21
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 North Carolina