Individual
MORRIS J. RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 NORTHBROOK DR, FALMOUTH, ME 04105-1318
(207) 781-5775
Mailing address
22 NORTHBROOK DR, FALMOUTH, ME 04105-1318
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1250
ME
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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