MR. Russell Donald Thompson JR.

NPI #1063753143 in Mokena, Illinois

Provider Information

NPI Number: 1063753143
Entity Type: Individual
Name: MR. Russell Donald Thompson JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 14, 2013
Last Updated: Mar 14, 2013

Practice Location

Address: 19065 HICKORY CREEK DR
Address 2: SUITE 210
City: Mokena
State: Illinois
ZIP Code: 60448-8507
Phone: (708) 237-7311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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