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1780061697
SHANNON RAYE RUSSELL
HOUSTON, TX
NPI
1780061697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 116015)
Enumeration Date
2015-04-29
Last Update Date
2015-04-29
Business Address
-- SHANNON RAYE RUSSELL OTR/L
1515 HOLCOMBE BLVD UNIT 98
HOUSTON, TX 77030
Phone number: 713-792-3192
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Mailing Address
-- SHANNON RAYE RUSSELL OTR/L
905 S RIPPLE CREEK DR
HOUSTON, TX 77057
Phone number: 732-915-8254
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