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✓ OIG exclusion check passed — not excluded from federal healthcare programs
RM

MARK RUSSO, PT, DPT

Home Health Agency

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
LEWISVILLE, TX
Licensed since
2010
Rate
Federal identifiers
NPI registry number1669784419
Provider details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients16
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