Individual
AMY RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3073 WHITE MOUNTIAN HIGHWAY, NORTH CONWAY, NH 03860
(603) 356-4949
Mailing address
3073 WHITE MOUNTIAN HIGHWAY, NORTH CONWAY, NH 03860
(603) 356-4949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1986
NH
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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