Doctor Name: | SHENAE RUSSELL-LIPSEY |
NPI Number: | 1437331741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS, PT, DPT |
License Number: | 11207 |
Business Practice Address: | 103 Gossman Rd Southern Pines, NC - 283872225 |
Business Phone Number: | 9102461000 |
Business Fax Number: | |
Mailing Address: | 32915 E Nimrod St, SOLON |
State: | OH |
Postal Code: | 441394427 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11207 |
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 |