Individual
SARAH LOUISE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3981 WELLINGTON PKWY, PALM HARBOR, FL 34685-1172
(813) 402-0689
Mailing address
3213 BROOKEVIEW CT, NAPLES, FL 34120-4470
(239) 298-3045
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT13576
FL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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