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Individual

MS. CHRISTINE RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
140 STEPNEY LN, EDGEWATER, MD 21037-2801
(410) 956-3559
Mailing address
8673 NEW BEDFORD HARBOUR, PASADENA, MD 21122-2555
(410) 360-4939

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MD

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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