Patricia Russo, OT

NPI #1992941827 in Morris Plains, New Jersey

Provider Information

NPI Number: 1992941827
Entity Type: Individual
Name: Patricia Russo, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 24, 2008
Last Updated: Dec 24, 2008

Practice Location

Address: 32 GIBRALTAR DR
City: Morris Plains
State: New Jersey
ZIP Code: 07950-1273
Phone: (862) 219-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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