SHANNON RAYE RUSSELL

HOUSTON, TX
NPI1780061697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  116015)
Enumeration Date2015-04-29
Last Update Date2015-04-29
Business Address
-- SHANNON RAYE RUSSELL OTR/L
1515 HOLCOMBE BLVD UNIT 98
HOUSTON, TX 77030
Phone number: 713-792-3192
Mailing Address
-- SHANNON RAYE RUSSELL OTR/L
905 S RIPPLE CREEK DR
HOUSTON, TX 77057
Phone number: 732-915-8254