Individual
CAITLIN RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
(715) 381-8131
Mailing address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
(715) 381-8131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
105145
MN
225X00000X
Occupational Therapist
Primary
5899 - 26
WI
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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