Mary Russell, MS OTR/L

NPI #1013248863 in Plains, Montana

Provider Information

NPI Number: 1013248863
Entity Type: Individual
Name: Mary Russell, MS OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS OTR/L
Enumeration Date: Jan 19, 2010
Last Updated: Jan 19, 2010

Practice Location

Address: 10 KRUGER RD
City: Plains
State: Montana
ZIP Code: 59859-9271
Phone: (406) 493-5602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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