NPI 1003049230
Mary Kathleen Russo, MSOTRL
Practice location
- Address
- 3775 Country Ln, Brownsburg, IN 46112-8375
- Phone
- (317) 858-9828
Registered specialties
Physical Rehabilitation Occupational Therapist
Primary
Registry record
- NPI
- 1003049230
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Sep 2009
- Record last updated
- 4 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.