Individual
MRS. RACHEL CELESE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR L
Contact information
Practice address
300 STONE CREST PKWY, STE 375, SMYRNA, TN 37167
(615) 220-5796
(615) 220-8829
Mailing address
5704 COLLINWOOD CT, ANTIOCH, TN 37013
(214) 707-8557
(615) 333-9015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3484
TN
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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