Individual
MS. JULIE LAINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 898-7986
Mailing address
6200 EUBANK BLVD NE APT 1021, ALBUQUERQUE, NM 87111-7317
(908) 601-1811
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT4456
NM
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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