Most Relevant Information
Provider Data
| NPI Number: | 1003236902 |
| Provider Name: | AMANDA RUSSELL MSED, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2050 |
Most Important Dates
| Enumeration Date: | 04/18/2014 |
| Last Updated: | 04/18/2014 |
Provider Practice Location
5 HIGHLAND ST
AMESBURY
MA
019132215
Practice Location Phone/Fax
| Phone: | 9783884800 |
| Fax: |
Provider Mailing Location
5 HIGHLAND ST
AMESBURY
MA
019132215
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |