Amanda Didawick Russell, | |
103 Sleepy Dr Ste G, Spring Lake, NC 28390-3319 | |
(910) 423-5622 | |
(910) 378-1755 |
Full Name | Amanda Didawick Russell |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 103 Sleepy Dr Ste G, Spring Lake, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124795802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P20626 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amanda Didawick Russell, 4602 Cumberland Rd, Fayetteville, NC 28306-2412 Ph: (910) 423-5622 | Amanda Didawick Russell, 103 Sleepy Dr Ste G, Spring Lake, NC 28390-3319 Ph: (910) 423-5622 |
Theraspace Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Cypress Drive, Spring Lake, NC 28390 Phone: 305-794-7185 | |
Healthpro Pediatrics Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Dr, Spring Lake, NC 28390 Phone: 910-484-1711 |