Michelle Russo
Michelle Russo is a Pediatric Occupational Therapist in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2024.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
3650 NW Devane StLake City, FL 32055-8730
Phone: (386) 758-1811
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence OT24825 (FL) |
|---|
Record details
| NPI number | 1790546414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 19, 2024 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
| Mailing address | 1388 Bitterberry Dr, Orange Park, FL 32065-5239 |