Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY J RUSSO, PTA
ActiveANTHONY J RUSSO, PTA is a Occupational Therapist healthcare provider located in ORANGE PARK, Florida. NPI 1861990657 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ORANGE PARK, FL
Registration Details
- NPI Number
- 1861990657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2018 (8.5044870993916 yrs)
- Last Updated
- Jan 26, 2018
- License
-
PTA28155 (FL)
Practice Information
- Address
-
2300 PARK AVE STE 203ORANGE PARK, FL, 320735573Browse FL providers · Browse ZIP 32073
- Phone
- 9046340640
- Fax
- 9046340203
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in ORANGE PARK, FL
| Name | Credential | NPI |
|---|---|---|
| ANDREA GAINEY | PTA | 1548368442 |
| DAVID BAILEY | PTA | 1578654570 |
| AMY E TURNER | PTA | 1912098856 |
| AMY SIMMONS | PTA | 1992896849 |
| SANDRA LAXTON | PTA | 1427141878 |
| RENATA KIMMEL | PTA | 1386737716 |
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.