Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY A RUSSO, PT, DPT, NCS, ATP
Active Sole ProprietorKELLY A RUSSO, PT, DPT, NCS, ATP is a Neurology (Occupational Therapy) healthcare provider located in MALVERN, Pennsylvania. NPI 1326115841 is currently active in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · MALVERN, PA
Registration Details
- NPI Number
- 1326115841
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2006 (19.73469652884 yrs)
- Last Updated
- Jan 18, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
414 PAOLI PIKEMALVERN, PA, 193553311Browse PA providers · Browse ZIP 19355
- Phone
- 4845967894
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
Other Neurology (Occupational Therapy) Providers in MALVERN, PA
| Name | Credential | NPI |
|---|---|---|
| DR. JACLYN GRENIER | DPT | 1548878580 |
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.