Carolyn Russell

NPI #1033878871 in Madison, Wisconsin

Provider Information

NPI Number: 1033878871
Entity Type: Individual
Name: Carolyn Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 9, 2021
Last Updated: Dec 9, 2021

Practice Location

Address: 202 S PARK ST
City: Madison
State: Wisconsin
ZIP Code: 53715-1507
Phone: (608) 417-5751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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