Search › Maryland › 2255A2300X
Aisha Russell, MS,LAT,ATC
NPI 1861932485 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2500 W North Ave
Pec 131
Baltimore, MD 21216 - Phone
- (410) 951-3728
- Fax
- (410) 951-6928
- Organisation at this address
- Coppin State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-01
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 Maryland