Russell, Roger Jay

Russell, Roger Jay is an individual health care provider with primary practice located at 124 Stone St , Walla Walla WA 99362-4169. 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, Roger Jay can be contacted via phone (509) 529-5977.

Contact Information

Primary practice address
124 Stone St Walla Walla WA 99362-4169
Phone: (509) 529-5977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2152 Washington

Profile Details

NPI number 1871576439
LBN Legal business name Russell, Roger Jay
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 17 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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