Russell, Amy Danielle
Russell, Amy Danielle is an individual health care provider with primary practice located at 123 Jefferson Davis Blvd , Natchez MS 39120-5103. 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, Amy Danielle can be contacted via phone (601) 445-0005.Contact Information
Primary practice address
123 Jefferson Davis Blvd
Natchez MS 39120-5103
Phone: (601) 445-0005
Fax: (601) 445-0370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT3173 | Mississippi |
Profile Details
| NPI number | 1508226291 |
|---|---|
| LBN Legal business name | Russell, Amy Danielle |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2016 |
| Last updated | Feb 24th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508226291 | NPPES |
| Mississippi | MEDICAID | PENDING |
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