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Andrea Russell
NPI 1205267762 · on the registry since 2013 · sole proprietor
Practice
- Address
- 12901 Broleman Rd
Orlando, FL 32832 - Phone
- (407) 641-0808
- Fax
- (407) 812-4358
- Organisation at this address
- Florida Pediatric Therapy, Llc
Florida Pediatric Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 921 Glendora Rd S, Kissimmee, FL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 222Q00000X
235Z00000X - Licence states on file
- PA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida