KEISHA A RUSSELL

ATLANTA, GA
NPI1306042320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT002185)
Enumeration Date2007-06-26
Last Update Date2008-02-08
Business Address
Ms. KEISHA A RUSSELL OTR L
675 SEMINOLE AVE NE SUITE T05
ATLANTA, GA 30307-3408
Phone number: 404-575-4000
Mailing Address
Ms. KEISHA A RUSSELL OTR L
2780 LANTERN LN
COLLEGE PARK, GA 30349-3860
Phone number: