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1699516245
ALEXA MARIE RUSSELL
SEAFORD, NY
NPI
1699516245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 029199)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
ALEXA MARIE RUSSELL MS, OTR/L
3559 MERRICK RD
SEAFORD, NY 11783-2833
Phone number: 516-639-4021
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Mailing Address
ALEXA MARIE RUSSELL MS, OTR/L
177 OCEAN AVE
MASSAPEQUA, NY 11758-6510
Phone number: 516-477-3490
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