Individual
MS. MARGARET RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED.,OTR/L
Contact information
Practice address
701 LANDSCAPE AVE, SAINT LOUIS, MO 63119-4247
(314) 962-6964
Mailing address
701 LANDSCAPE AVE, SAINT LOUIS, MO 63119-4247
(314) 962-6964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004548
MO
Other
Enumeration date
03/14/2007
Last updated
03/27/2008
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