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1255039384
KAITLYN NICOLE RUSSELL
ROCHESTER, NY
NPI
1255039384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 027543)
Enumeration Date
2023-02-17
Last Update Date
2023-02-17
Business Address
KAITLYN NICOLE RUSSELL MS, OTR/L
2099 W RIDGE RD
ROCHESTER, NY 14626-2728
Phone number: 315-437-4689
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Mailing Address
KAITLYN NICOLE RUSSELL MS, OTR/L
367 BILLS RD
MACEDON, NY 14502-9334
Phone number: 585-626-8851
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