person
Michael J Russo, PT
Orthopedic Physical Therapist in Newport Beach, California
NPI 1265737563

Michael J Russo is a Orthopedic Physical Therapist based in Newport Beach, CA and is specialized in Orthopedic. Michael J Russo practices in Newport Beach, CA and has the professional credentials of PT. The NPI Number for Michael J Russo is 1265737563 and holds a License No. 34635 (California).

The current practice location address for Michael J Russo is 20301 Sw Acacia St Ste 150, Newport Beach, CA and can be reached out via phone at 949-274-9551 and via fax at 949-264-8219.

Location: 20301 Sw Acacia St Ste 150, Newport Beach, CA, 92660-1741
person
Provider Profile Details
NPI Number
1265737563
Provider Name
Michael J Russo
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
20301 Sw Acacia St Ste 150, Newport Beach, CA, 92660-1741
Phone Number
949-274-9551
Fax Number
949-264-8219
Provider Enumeration Date
01/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20301 Sw Acacia St Ste 150
City
State
Zip
92660-1741
Phone Number
949-274-9551
Fax Number
949-264-8219
person
Provider Business Mailing Address Details
Address
20301 Sw Acacia St Ste 150
City
State
Zip
92660-1741
Phone Number
949-274-9551
Fax Number
949-264-8219
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
34635 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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