Individual
MS. EMILY RUSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8 MIDDLETON DR, SOUTH GLENS FALLS, NY 12803-5346
(518) 222-3902
Mailing address
8 MIDDLETON DR, SOUTH GLENS FALLS, NY 12803-5346
(518) 222-3902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0115251
NY
Other
Enumeration date
03/26/2009
Last updated
02/06/2017
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