Amanda Lee Russell
NPI #1750859328 in Ballston Spa, New York
Provider Information
- NPI Number
- 1750859328
- Entity Type
- Individual
- Name
- Amanda Lee Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Nov 12, 2018
- Last Updated
- Nov 12, 2018
Practice Location
- Address
- 87 DIVISION ST
- City
- Ballston Spa
- State
- New York
- ZIP Code
- 12020-1006
- Phone
- (518) 885-2951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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