Individual
MICHELE ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1605 ELM CREEK VW, COLORADO SPRINGS, CO 80907-7181
(719) 633-2701
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(971) 224-2037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
987
CO
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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