Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK JOSEPH RUSSELL, OTR/L
Active Sole ProprietorMR. MARK JOSEPH RUSSELL, OTR/L is a Pediatric Occupational Therapist healthcare provider located in FRANKFORT, Kentucky. NPI 1134463870 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · FRANKFORT, KY
Registration Details
- NPI Number
- 1134463870
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2012 (13.697778810858 yrs)
- Last Updated
- Nov 19, 2012
- License
-
R-2326 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 EAST MAIN STREETFRANKFORT, KY, 406210001Browse KY providers · Browse ZIP 40621
- Phone
- 5025643756
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.