SHANNON L RUSSELL

MONTGOMERY, AL
NPI1417141722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AL  005110)
Enumeration Date2007-08-29
Last Update Date2007-08-30
Business Address
Mrs. SHANNON L RUSSELL OT
4154 LOMAC ST
MONTGOMERY, AL 36106-2815
Phone number: 334-262-5744
Mailing Address
Mrs. SHANNON L RUSSELL OT
4154 LOMAC ST
MONTGOMERY, AL 36106-2815
Phone number: 334-262-5744