Doctor Name: | CAROLYN ELAINE RUSSELL-CANAAN |
NPI Number: | 1578875563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 23328 |
Business Practice Address: | 516 N Rolling Rd Ste 302 Catonsville, MD - 212284140 |
Business Phone Number: | 4107441666 |
Business Fax Number: | 4107889755 |
Mailing Address: | Po Box 866308, PLANO |
State: | TX |
Postal Code: | 750866308 |
Phone Number: | 8007935464 |
Fax Number: | 2673212099 |
NPI Enumeration Date: | 07/08/2010 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |