Doctor Name: | WENDY RUSSELL |
NPI Number: | 1023471562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 40QA00590600 |
Business Practice Address: | 200 Bristol Glen Dr Newton, NJ - 078602329 |
Business Phone Number: | 9733005788 |
Business Fax Number: | |
Mailing Address: | 6 Betony Ct, NEWTON |
State: | NJ |
Postal Code: | 078605377 |
Phone Number: | 9739035325 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2016 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00590600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |