Madison Russell

NPI #1619756566 in Sycamore, Illinois

Provider Information

NPI Number: 1619756566
Entity Type: Individual
Name: Madison Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 1513 DEKALB AVE
City: Sycamore
State: Illinois
ZIP Code: 60178-2703
Phone: (815) 766-3733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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