HONORA RUSSELL

SANTA ROSA, CA
NPI1306146550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: CA  OT 6127)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CA  OT 6127)
Enumeration Date2010-10-21
Last Update Date2010-10-21
Business Address
-- HONORA RUSSELL MS OTL
2999 CLEVELAND AVE STE D
SANTA ROSA, CA 95403-2761
Phone number: 707-546-9160
Mailing Address
-- HONORA RUSSELL MS OTL
2999 CLEVELAND AVE STE D
SANTA ROSA, CA 95403-2761
Phone number: 707-546-9160