Individual
HELEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 SAINT ANDREWS LN, BOOTHBAY HARBOR, ME 04538-1731
(207) 633-8423
Mailing address
6 SAINT ANDREWS LN, BOOTHBAY HARBOR, ME 04538-1731
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
OT4215
ME
Other
Enumeration date
09/17/2018
Last updated
10/12/2022
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