MARY KATHLEEN RUSSO

BROWNSBURG, IN
NPI1003049230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: IN  31003367A)
Enumeration Date2009-09-04
Last Update Date2009-09-04
Business Address
-- MARY KATHLEEN RUSSO MS OTR/L
3775 COUNTRY LN
BROWNSBURG, IN 46112-8375
Phone number: 317-858-9828
Mailing Address
-- MARY KATHLEEN RUSSO MS OTR/L
3775 COUNTRY LN
BROWNSBURG, IN 46112-8375
Phone number: 317-858-9828