Doctor Name: | RUSSELL POOLE |
NPI Number: | 1144219098 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT002288L |
Business Practice Address: | 75 Evelyn Dr Millersburg, PA - 170611258 |
Business Phone Number: | 7176924708 |
Business Fax Number: | 7176925464 |
Mailing Address: | 3425 N Carlisle St, 2nd Floor, Hudson Building PHILADELPHIA |
State: | PA |
Postal Code: | 191405108 |
Phone Number: | 2157074739 |
Fax Number: | 2157073677 |
NPI Enumeration Date: | 10/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT002288L |
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 |