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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH DIANE RUSSELL, PT

Active

Physical Therapy Assistant · BENTON, AR

Registration Details

NPI Number
1609994813
Provider Type
Individual
Gender
Female
NPI Issued
Mar 26, 2007 (19.088524484919 yrs)
Last Updated
Nov 29, 2010
License
3111 (AR)

Practice Information

Address
5407 UNION SQ
BENTON, AR, 720196898
Browse AR providers · Browse ZIP 72019
Phone
2053940120
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BENTON, AR

Name Credential NPI
RANDALL GREEN PT 1457352056
MR. DANIEL B. MYERS JR. PHYSICAL THERAPIST 1477546562
MR. RICHARD DALE STEVENS PT 1073596086
MS. KATHYRN ELAINE SANDUSKY MS PT 1053370700
MRS. KELLI BRYAN WINTERS MS PT 1679532444
MR. COREY WAYNE TINKLE MS PT 1790744563
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.