Russell, Timothy A

Russell, Timothy A is an individual health care provider with primary practice located at 11482 Okeechobee Blvd Suite 2, Royal Palm Beach FL 33411-8735. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Russell, Timothy A can be contacted via phone (561) 432-0111.

Contact Information

Primary practice address
11482 Okeechobee Blvd Suite 2 Royal Palm Beach FL 33411-8735
Phone: (561) 432-0111
Fax: (561) 432-1075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT27587 Florida

Profile Details

NPI number 1013264530
LBN Legal business name Russell, Timothy A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated May 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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