Vanda Marion Russell

NPI #1972879898 in Lynden, Washington

Provider Information

NPI Number: 1972879898
Entity Type: Individual
Name: Vanda Marion Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 25, 2012
Last Updated: Mar 25, 2012

Practice Location

Address: 855 AARON DR
City: Lynden
State: Washington
ZIP Code: 98264-9396
Phone: (360) 354-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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