Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KATHLEEN RUSSO, MS OTR/L
Active Sole ProprietorMARY KATHLEEN RUSSO, MS OTR/L is a Physical Rehabilitation Occupational Therapist healthcare provider located in BROWNSBURG, Indiana. NPI 1003049230 is currently active in the NPPES registry. Verify at CMS.
Physical Rehabilitation Occupational Therapist · BROWNSBURG, IN
Registration Details
- NPI Number
- 1003049230
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2009 (16.903152210552 yrs)
- Last Updated
- Sep 4, 2009
- License
-
31003367A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3775 COUNTRY LNBROWNSBURG, IN, 461128375Browse IN providers · Browse ZIP 46112
- Phone
- 3178589828
- Primary Specialty
-
Physical Rehabilitation Occupational Therapist
225XP0019X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.