Russell, Shannon L
Russell, Shannon L is an individual health care provider with primary practice located at 4154 Lomac St , Montgomery AL 36106-2815. 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, Shannon L can be contacted via phone (334) 262-5744.Contact Information
Primary practice address
4154 Lomac St
Montgomery AL 36106-2815
Phone: (334) 262-5744
Fax: (334) 262-5155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 005110 | Alabama |
Profile Details
| NPI number | 1417141722 |
|---|---|
| LBN Legal business name | Russell, Shannon L |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Aug 30th, 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.
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