MERCEDES RUSSELL

LOUISVILLE, KY
NPI1891226452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  169235)
Enumeration Date2017-03-24
Last Update Date2017-03-24
Business Address
-- MERCEDES RUSSELL COTA/L
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
-- MERCEDES RUSSELL COTA/L
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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