Samantha L Russell, MOT
Samantha L Russell, MOT is a Pediatric Occupational Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
10435 Midtown Pkwy Unit 152Jacksonville, FL 32246-7483
Phone: (772) 621-0183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence OT15232 (FL) |
|---|
Record details
| NPI number | 1194125567 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MOT |
| Sole proprietor | Yes |
| NPI enumerated | September 3, 2014 |
| Last updated in NPPES | September 3, 2014 |
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