Individual
MS. TAMRA CLAY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
107 MAGNOLIA DR, MORGANTON, NC 28655-4505
(828) 437-8760
(828) 439-9744
Mailing address
4370 CELIA CREEK RD, LENOIR, NC 28645-9777
(828) 754-8517
(828) 439-9744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0510
NC
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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