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1962076935
AMY RUSSELL
LOUISVILLE, KY
NPI
1962076935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 133167)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
AMY RUSSELL OTR/L
4912 US HIGHWAY 42 STE 104
LOUISVILLE, KY 40222-6357
Phone number: 502-429-8640
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Mailing Address
AMY RUSSELL OTR/L
4912 US HIGHWAY 42 STE 104
LOUISVILLE, KY 40222-6357
Phone number: 502-429-8640
Copy
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