Doctor Name: | JEANINE RENEE RUSSMAN |
NPI Number: | 1043409915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 10048 |
Business Practice Address: | 1450 Matthews Township Pkwy Suite 120 Matthews, NC - 281052387 |
Business Phone Number: | 7043233208 |
Business Fax Number: | 7043233911 |
Mailing Address: | 4601 Park Rd, Suite 300 CHARLOTTE |
State: | NC |
Postal Code: | 282093239 |
Phone Number: | 7043232256 |
Fax Number: | 7043233911 |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |