Individual
MRS. MARION RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(207) 883-6680
Mailing address
30 CRAIGIE ST, PORTLAND, ME 04102-2530
(207) 774-2735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2497
ME
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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