Russell, Alissa Lynne
Russell, Alissa Lynne is an sole proprietor health care provider with primary practice located at 2904 Seminary Dr , Greensburg PA 15601-3700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Russell, Alissa Lynne can be contacted via phone (724) 832-8272.Contact Information
Primary practice address
2904 Seminary Dr
Greensburg PA 15601-3700
Phone: (724) 832-8272
Fax: (724) 837-8278
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC007479L | Pennsylvania |
Profile Details
NPI number | 1992827414 |
---|---|
LBN Legal business name | Russell, Alissa Lynne |
Credentials | MOTR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 4th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992827414 | NPPES |
Pennsylvania | MEDICAID | 01889767 |
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