Individual
ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6131 LEONA ST, SAINT LOUIS, MO 63116-2922
(314) 481-8585
Mailing address
4136 HARTFORD ST FL 2, SAINT LOUIS, MO 63116-3925
(740) 624-6094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021012531
MO
Other
Enumeration date
04/14/2021
Last updated
02/17/2023
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