Russo, Mary Kathleen

Russo, Mary Kathleen is an sole proprietor health care provider with primary practice located at 3775 Country Ln , Brownsburg IN 46112-8375. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Russo, Mary Kathleen can be contacted via phone (317) 858-9828.

Contact Information

Primary practice address
3775 Country Ln Brownsburg IN 46112-8375
Phone: (317) 858-9828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 31003367A Indiana

Profile Details

NPI number 1003049230
LBN Legal business name Russo, Mary Kathleen
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2009
Last updated Sep 4th, 2009 - about 16 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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