| Holly Russell, MS, OTR | |
|
10320 N New Jersey St, Indianapolis, IN 46280-1360 | |
| (317) 413-5778 | |
| Not Available |
| Full Name | Holly Russell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Neurorehabilitation |
| Location | 10320 N New Jersey St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285918052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 06720 (Maryland) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | 31003599A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Russell, MS, OTR 10320 N New Jersey St, Indianapolis, IN 46280-1360 Ph: (317) 413-5778 | Holly Russell, MS, OTR 10320 N New Jersey St, Indianapolis, IN 46280-1360 Ph: (317) 413-5778 |
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