NPI 1093929259
Jo Russell-Brown, MED
Practice location
- Address
- 5030 McRee Ave, Saint Louis, MO 63110-2046
- Phone
- (314) 776-1300
- Fax
- (314) 776-7808
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1093929259
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 May 2007
- Record last updated
- 8 Jul 2007
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.