Jamie Russell

NPI #1023282274 in Mccomb, Mississippi

Provider Information

NPI Number: 1023282274
Entity Type: Individual
Name: Jamie Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 18, 2008
Last Updated: Apr 18, 2008

Practice Location

Address: 206 MARYLAND AVE
City: Mccomb
State: Mississippi
ZIP Code: 39648-3926
Phone: (601) 250-4815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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