Doctor Name: | MR. ROBERT RUSS |
NPI Number: | 1407259567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT MS DPT |
License Number: | 16237 |
Business Practice Address: | 1738 Gar Hwy Swansea, MA - 027773906 |
Business Phone Number: | 5083790090 |
Business Fax Number: | 5083796050 |
Mailing Address: | 1738 Gar Hwy, SWANSEA |
State: | MA |
Postal Code: | 027773906 |
Phone Number: | 5083790090 |
Fax Number: | 5083796050 |
NPI Enumeration Date: | 10/03/2014 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 16237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |