Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL D BERRY, LPTA
ActiveRUSSELL D BERRY, LPTA is a Occupational Therapist healthcare provider located in MANGUM, Oklahoma. NPI 1972716512 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MANGUM, OK
Registration Details
- NPI Number
- 1972716512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2007 (19.231167919904 yrs)
- Last Updated
- Mar 29, 2010
- License
-
812 (OK)
Practice Information
- Address
-
1 WICKERSHAM STMANGUM, OK, 735549117Browse OK providers · Browse ZIP 73554
- Phone
- 5807823353
- 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.