Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BECKY RUSSELL
Active Sole ProprietorBECKY RUSSELL is a Occupational Therapy Assistant healthcare provider located in MANGHAM, Louisiana. NPI 1295942068 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MANGHAM, LA
Registration Details
- NPI Number
- 1295942068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2007 (19.274002682433 yrs)
- Last Updated
- May 21, 2020
- License
-
LA20253 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
153 BROWN RDMANGHAM, LA, 712595144Browse LA providers · Browse ZIP 71259
- Phone
- 3187916169
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.