Locke, Russell Lamar

Locke, Russell Lamar is an sole proprietor health care provider with primary practice located at 1705 Jess Parrish Ct , Titusville FL 32796-2158. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Locke, Russell Lamar can be contacted via phone (321) 269-5720.

Contact Information

Primary practice address
1705 Jess Parrish Ct Titusville FL 32796-2158
Phone: (321) 269-5720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA10650 Florida

Profile Details

NPI number 1891256277
LBN Legal business name Locke, Russell Lamar
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2019
Last updated Mar 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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