Individual
MS. ELLEN M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
750 N ROSEMONT, TUCSON, AZ 85711
(520) 232-8300
Mailing address
4330 N VEREDA ROSADA, TUCSON, AZ 85750-6332
(520) 615-6215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3252
AZ
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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