Amanda Rae Russell
Amanda Rae Russell is an Occupational Therapy Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2022.
- Licensed in
- MO
- In the registry since
- 2022
Practice location Address checks out
9350 Green Park RdSaint Louis, MO 63123-7211
Phone: (413) 845-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 2018032994 (MO) |
|---|
Record details
| NPI number | 1982334173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 12, 2022 |
| Last updated in NPPES | June 12, 2022 |
| Certification date | June 12, 2022 |
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