Individual
CHELSEA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
335 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Mailing address
335 OAK GROVE RD, SPARTANBURG, SC 29301-2537
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4382
SC
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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