Kelly A Russo
Physical Therapist - Neurology
414 Paoli Pike
Malvern
, Pennsylvania 19355-3311
Kelly A Russo
Physical Therapist - Neurology
414 Paoli Pike
Malvern
, Pennsylvania 19355-3311
(443) 739-6993
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Kelly A Russo
- 82 Tucker Dr
- Downingtown, PA
- Zip : 19335-1457
- Phone : (443) 739-6993
Second Address
- Kelly A Russo
- 414 Paoli Pike
- Malvern, PA
- Zip : 19355-3311
- Phone : (484) 596-7894
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | PA |
National Provider Identifier
| NPI | 1326115841 |
|---|---|
| Provider Name | Kelly A Russo |
| First Address | Downingtown, PA 19335-1457 |
| Second Address | Malvern, PA 19355-3311 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 18/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.