Jacqueline Russo

Physical Therapy Assistant · Auburndale, MA

Individual Active NPI

NPI number 1750860458

Practice location

120 Seminary Ave
Auburndale, MA 02466-2650
Phone
(617) 633-7100

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NPI record

NPI
1750860458
Entity type
Individual (Type 1)
Enumeration date
August 13, 2018
Last updated
August 13, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 9508 MA

Mailing address

36 Francis St
Belmont, MA 02478-2220
Phone
(617) 874-0765

About Jacqueline Russo

Jacqueline Russo is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 120 Seminary Ave, Auburndale, MA 02466-2650. The NPI number 1750860458 was assigned on August 13, 2018 and the record was last updated on August 13, 2018.

Jacqueline Russo lists a license in the registry: #9508 (MA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacqueline Russo?

The NPI number is 1750860458.

What is the phone number of Jacqueline Russo?

The phone number listed for the practice location is (617) 633-7100.

Where is Jacqueline Russo located?

120 Seminary Ave, Auburndale, MA 02466-2650.

What is the taxonomy code for Jacqueline Russo?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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