Individual
MRS. HANA TSIPORA RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6 SHUART DR, SPRING VALLEY, NY 10977-2504
(845) 356-4588
Mailing address
6 SHUART DR, SPRING VALLEY, NY 10977-2504
(845) 356-4588
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006433
NY
Other
Enumeration date
11/27/2008
Last updated
08/31/2020
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