Doctor Name: | RUSSELL PATRICK SARAULT |
NPI Number: | 1083832208 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT018622 |
Business Practice Address: | 734 E Lancaster Ave Villanova, PA - 190851325 |
Business Phone Number: | 6109641700 |
Business Fax Number: | |
Mailing Address: | 420 Bainbridge St, PHILADELPHIA |
State: | PA |
Postal Code: | 191471568 |
Phone Number: | 2156293837 |
Fax Number: | 2156295531 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT018622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |