JENNIFER RUSSELL

WACO, TX
NPI1497065577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  403816)
Enumeration Date2010-10-07
Last Update Date2010-10-07
Business Address
-- JENNIFER RUSSELL COTA
6804 SANGER AVE #227
WACO, TX 76710-4257
Phone number: 800-340-4098
Mailing Address
-- JENNIFER RUSSELL COTA
6804 SANGER AVE #227
WACO, TX 76710-4257
Phone number: 800-340-4098