NPI 1639610900

Melissa Russo

Practitioner Rehabilitation Practitioner Wayland, MI

Practice location

Address: 2936 2nd St, Wayland, MI 49348-9518
Phone: (616) 862-8553

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1639610900
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2017
Record last updated: 20 Mar 2017

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.