Individual
MRS. CHRISTA JO RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 HILLTOP DR, NORTH SALEM, NY 10560-2212
(914) 669-8318
Mailing address
34 HILLTOP DR, NORTH SALEM, NY 10560-2212
(914) 669-8318
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006880-1
NY
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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