Becky Russell
Becky Russell is an Occupational Therapy Assistant in Mangham, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
153 Brown RdMangham, LA 71259-5144
Phone: (318) 791-6169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence LA20253 (LA) |
|---|
Record details
| NPI number | 1295942068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2007 |
| Last updated in NPPES | May 21, 2020 |
| Certification date | May 21, 2020 |