Individual
KATHERINE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 724-8078
Mailing address
7 CEDAR PL, SOMERVILLE, MA 02143-2233
(617) 666-0884
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
8056
MA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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