Individual
KAREN MICHELE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-8490
Mailing address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004208
MI
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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