Individual
MR. RUSSELL ALAN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 PARK CITY RD, ROSSVILLE, GA 30741-3980
(706) 858-2702
Mailing address
4000 RIVER CRESCENT DR, ANNAPOLIS, MD 21401-7721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA002126
GA
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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