Individual provider · Type 1 NPI
Derick M. Russell, MPT
Orthopedic Physical Therapist · Oak Park, IL
Practice location
6326 West Roosevelt Rd
Oak Park, IL 60304
Fax (708) 660-9356
Mailing address
1101 Circle Ave
Forest Park, IL 60130-2326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | None listed |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1710907480
Derick M. Russell, MPT's National Provider Identifier is 1710907480, issued on Jul 19, 2006. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Oak Park, IL. The record was last updated on Jul 8, 2007.