Ms. Joan Larue Russ
Occupational Therapist Occupational Therapist - Gerontology
3001 Spring Forest Rd
Raleigh
, North Carolina 27616-2815
Ms. Joan Larue Russ
Occupational Therapist Occupational Therapist - Gerontology
3001 Spring Forest Rd
Raleigh
, North Carolina 27616-2815
(800) 568-4513
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Joan Larue Russ
- 3001 Spring Forest Rd
- Raleigh, NC
- Zip : 27616-2815
- Phone : (800) 568-4513
Second Address
- Ms. Joan Larue Russ
- 3001 Spring Forest Rd
- Raleigh, NC
- Zip : 27616-2815
- Phone : (800) 568-4513
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5455 | NC |
| N | 225XG0600X | Occupational Therapist - Gerontology | 5455 | NC |
National Provider Identifier
| NPI | 1730332677 |
|---|---|
| Provider Name | Ms. Joan Larue Russ |
| First Address | Raleigh, NC 27616-2815 |
| Second Address | Raleigh, NC 27616-2815 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2008 |
| Last Update Date | 23/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 225X00000X | OCCUPATIONAL THERAPY (01) | NC |
| 5455 | NORTH CAROLINA BOARD OF OCCUPATIONAL THERAP (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.