Phillippo, Russell John

Phillippo, Russell John is an sole proprietor health care provider with primary practice located at 407 E 106Th St , Indianapolis IN 46280-1325. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Phillippo, Russell John can be contacted via phone (317) 460-3493.

Contact Information

Primary practice address
407 E 106Th St Indianapolis IN 46280-1325
Phone: (317) 460-3493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 32000325A Indiana

Profile Details

NPI number 1891942082
LBN Legal business name Phillippo, Russell John
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 15 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.

Request for update

Popular Providers