Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL ALLEN FANNING, PTA
Active Sole ProprietorMR. RUSSELL ALLEN FANNING, PTA is a Occupational Therapist healthcare provider located in HYDRO, Oklahoma. NPI 1356556955 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HYDRO, OK
Registration Details
- NPI Number
- 1356556955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2007 (19.106981938316 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1498 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 N. ARAPAHOHYDRO, OK, 73048Browse OK providers · Browse ZIP 73048
- Phone
- 4056632335
- Primary Specialty
-
Occupational Therapist
225200000X
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.