BECKY RUSSELL

MANGHAM, LA
NPI1295942068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  LA20253)
Enumeration Date2007-05-17
Last Update Date2020-05-21
Business Address
BECKY RUSSELL
153 BROWN RD
MANGHAM, LA 71259-5144
Phone number: 318-791-6169
Mailing Address
BECKY RUSSELL
153 BROWN RD
MANGHAM, LA 71259-5144
Phone number: 318-791-6169