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1962163675
TERESA RUSSO
NEW ORLEANS, LA
NPI
1962163675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z11396)
Enumeration Date
2022-01-05
Last Update Date
2022-01-05
Business Address
TERESA RUSSO OT
822 S CLEARVIEW PKWY
NEW ORLEANS, LA 70123-3401
Phone number: 504-736-1865
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Mailing Address
TERESA RUSSO OT
10013 WALDEN DR
RIVER RIDGE, LA 70123-1547
Phone number: 504-250-0861
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