Organization
RUSSELL REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERYNNE LOUISE RUSSELL MA CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(616) 202-1972
Entity
Organization
Contact information
Practice address
598 W MADISON ST, BIG RAPIDS, MI 49307-9756
(616) 894-5844
Mailing address
598 W MADISON ST, BIG RAPIDS, MI 49307-9756
(616) 894-5844
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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