Individual
TERESA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
822 S CLEARVIEW PKWY, NEW ORLEANS, LA 70123-3401
(504) 736-1865
Mailing address
10013 WALDEN DR, RIVER RIDGE, LA 70123-1547
(504) 250-0861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11396
LA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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