Most Relevant Information
Provider Data
| NPI Number: | 1003380924 |
| Provider Name: | MELINDA LABARRE RUSSELL DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT026677 |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
275 GUTHRIE DR
TROY
PA
169478115
Practice Location Phone/Fax
| Phone: | 5702979234 |
| Fax: |
Provider Mailing Location
359 MAPLE PHEASANT LN
ROME
PA
188378359
Provider Mailing Phone/Fax
| Phone: | 5702477426 |
| Fax: |