THOMAS WILLIAMS RUSSELL

RISE PHYSICAL THERAPY INC

Dr THOMAS WILLIAMS RUSSELL is a male medical professional, specializing in Physical Therapy. He graduated in 2016.

Contact

RISE PHYSICAL THERAPY INC

1155 13TH ST
IMPERIAL BEACH
CA
919323608

Tel: 3104693595

THOMAS WILLIAMS RUSSELL Information

Npi 1316490113
Pac Id 5193005882
Professional Enrollment Id I20161215001848
Last Name RUSSELL
First Name THOMAS
Middle Name WILLIAMS
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RISE PHYSICAL THERAPY INC
Group Practice Pac Id 2062636079
Number Of Group Practice Members 15
Line 1 Street Address 1155 13TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IMPERIAL BEACH
State CA
Zip Code 919323608
Phone Number 3104693595
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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