Shannon Russell, CTRS

NPI #1447939228 in Dayton, Ohio

Provider Information

NPI Number: 1447939228
Entity Type: Individual
Name: Shannon Russell, CTRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Credential: CTRS
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 4100 W 3RD ST
City: Dayton
State: Ohio
ZIP Code: 45428-9000
Phone: (937) 268-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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