Individual
LAUREN ANN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
39 HOOYMAN DR, CLIFTON, NJ 07013-3610
(973) 396-6667
Mailing address
39 HOOYMAN DR, CLIFTON, NJ 07013-3610
(973) 396-6667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024254
NY
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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