Individual
AIMEE C RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
108 PARKVIEW TER, LINCROFT, NJ 07738-1365
(732) 842-4097
Mailing address
108 PARKVIEW TER, LINCROFT, NJ 07738-1365
(732) 842-4097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00577200
NJ
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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