Russell, Kathleen Marie
Russell, Kathleen Marie is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Russell, Kathleen Marie can be contacted via phone (419) 479-5960.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-9942 | Ohio |
Profile Details
| NPI number | 1750362448 |
|---|---|
| LBN Legal business name | Russell, Kathleen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | May 9th, 2016 - about 8 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 | 1750362448 | NPPES |
| Ohio | MEDICAID | 2375111 |
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