NPI 1144599119

Debbie Russell

Practitioner Occupational Therapy Assistant Longview, TX

Practice location

Address: 111 Ruthlynn Dr, Longview, TX 75605-5635
Phone: (903) 238-9198
Mailing address: 4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 210994 (TX)

Other Occupational Therapy Assistant providers in Texas →

Registry record

NPI: 1144599119
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2011
Record last updated: 21 Dec 2011

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.