Russell, Laverne
Russell, Laverne is an individual health care provider with primary practice located at 101 E State St , Kennett Square PA 19348-3109. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Russell, Laverne can be contacted via phone (610) 925-4545.Contact Information
Primary practice address
101 E State St
Kennett Square PA 19348-3109
Phone: (610) 925-4545
Fax: (610) 925-4579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 000526 E | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC 000834 L | Pennsylvania |
Profile Details
| NPI number | 1114057031 |
|---|---|
| LBN Legal business name | Russell, Laverne |
| Credentials | PT OTR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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