SAMANTHA L RUSSELL

JACKSONVILLE, FL
NPI1194125567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: FL  OT15232)
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
-- SAMANTHA L RUSSELL MOT
10435 MIDTOWN PKWY UNIT 152
JACKSONVILLE, FL 32246-7483
Phone number: 772-621-0183
Mailing Address
-- SAMANTHA L RUSSELL MOT
10435 MIDTOWN PKWY UNIT 152
JACKSONVILLE, FL 32246-7483
Phone number:
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