Individual
CHELSEA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 RUTH CT, MIDDLETOWN, NY 10940-5330
(305) 393-0859
Mailing address
324 RUTH CT, MIDDLETOWN, NY 10940-5330
(305) 393-0859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009818
NY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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