RUSSELL JOHN PHILLIPPO

INDIANAPOLIS, IN
NPI1891942082
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000325A)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
Mr. RUSSELL JOHN PHILLIPPO C.O.T.A.
407 E 106TH ST
INDIANAPOLIS, IN 46280-1325
Phone number: 317-460-3493
Mailing Address
Mr. RUSSELL JOHN PHILLIPPO C.O.T.A.
407 E 106TH ST
INDIANAPOLIS, IN 46280-1325
Phone number: 317-460-3493
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