SearchGeorgia171W00000X

Teki Russell, OTR/L

NPI 1992196364 · on the registry since 2015 · sole proprietor

Practice

Address
444 Chestlehurst Rd
Senoia, GA 30276
Phone
(770) 599-4500
Fax
(770) 599-4500

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-09

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 Georgia