Individual
ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5217 SMARTT DR, NASHVILLE, TN 37220-2029
(615) 636-7808
Mailing address
5217 SMARTT DR, NASHVILLE, TN 37220-2029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2143
TN
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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