Individual provider · Type 1 NPI
Teki Mashawn Russell, OTR/L
Contractor · Senoia, GA
Practice location
444 Chestlehurst Rd
Senoia, GA 30276-2505
Fax (770) 599-4500
Mailing address
20 Elizabeth Rd
Senoia, GA 30276-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | OT002684 (GA) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
About NPI 1992196364
Teki Mashawn Russell, OTR/L's National Provider Identifier is 1992196364, issued on Feb 6, 2015. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Senoia, GA. The record was last updated on Jun 9, 2016.