Christine M Russell, PT | |
10680 W Main Rd, North East, PA 16428-2226 | |
(814) 725-4808 | |
(814) 725-5002 |
Full Name | Christine M Russell |
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Gender | Female |
Speciality | Physical Therapist |
Location | 10680 W Main Rd, North East, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891774790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-015047-L (Pennsylvania) | Primary |
Provider Name | Novacare Outpatient Rehabilitation East, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487010583 PECOS PAC ID: 3678480290 Enrollment ID: O20140220000935 |
Mailing Address | Practice Location Address |
---|---|
Christine M Russell, PT 404 Baker Ave, Erie, PA 16511-2304 Ph: (814) 824-4346 | Christine M Russell, PT 10680 W Main Rd, North East, PA 16428-2226 Ph: (814) 725-4808 |
Lisa Marie Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 E Main St, North East, PA 16428 Phone: 814-725-4808 Fax: 814-725-5002 | |
Ms. Kristine Elizabeth Mazur, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10680 W Main Rd, North East, PA 16428 Phone: 814-490-6456 | |
Jeffery Burch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Clay St, North East, PA 16428 Phone: 814-725-3200 | |
Kaylee Schwenk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10680 W Main Rd, North East, PA 16428 Phone: 814-725-4808 | |
Mrs. Julianne L Watts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12100 Trinity Road, North East, PA 16428 Phone: 814-725-0259 Fax: 814-725-0259 |