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Mrs. Marilyn Mae Russo, PT
Pediatric Physical Therapist in New York, New York
NPI 1477707412

Marilyn Mae Russo is a Pediatric Physical Therapist based in New York, NY and is specialized in Pediatrics. Marilyn Mae Russo practices in New York, NY and has the professional credentials of PT. The NPI Number for Marilyn Mae Russo is 1477707412 and holds a License No. 009160-1 (New York).

The current practice location address for Marilyn Mae Russo is 138 Reade St, New York, NY and can be reached out via phone at 212-608-9661.

Location: 138 Reade St, New York, NY, 10013-3968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477707412
Provider Name
Marilyn Mae Russo
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
138 Reade St, New York, NY, 10013-3968
Phone Number
212-608-9661
Fax Number
Provider Enumeration Date
11/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
138 Reade St
City
New York
State
New York
Zip
10013-3968
Phone Number
212-608-9661
Fax Number
person
Provider Business Mailing Address Details
Address
138 Reade St
City
New York
State
New York
Zip
10013-3968
Phone Number
212-608-9661
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
009160-1 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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