MARK JOSEPH RUSSELL

FRANKFORT, KY
NPI1134463870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: KY  R-2326)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
Mr. MARK JOSEPH RUSSELL OTR/L
275 EAST MAIN STREET
FRANKFORT, KY 40621-0001
Phone number: 502-564-3756
Mailing Address
Mr. MARK JOSEPH RUSSELL OTR/L
275 EAST MAIN STREET
FRANKFORT, KY 40621-0001
Phone number: 502-564-3756
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