MICHELLE RUSSO

LAKE CITY, FL
NPI1790546414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: FL  OT24825)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
MICHELLE RUSSO
3650 NW DEVANE ST
LAKE CITY, FL 32055-8730
Phone number: 386-758-1811
Mailing Address
MICHELLE RUSSO
1388 BITTERBERRY DR
ORANGE PARK, FL 32065-5239
Phone number: