person
Miss Teki Mashawn Russell, OTR/L
Contractor in Senoia, Georgia
NPI 1992196364

Teki Mashawn Russell is a Contractor based in Senoia, GA. Teki Mashawn Russell practices in Senoia, GA and has the professional credentials of OTR/L. The NPI Number for Teki Mashawn Russell is 1992196364 and holds a License No. OT002684 (Georgia).

The current practice location address for Teki Mashawn Russell is 444 Chestlehurst Rd, Senoia, GA and can be reached out via phone at 770-599-4500 and via fax at 770-599-4500. You can also correspond with Teki Mashawn Russell through the mailing address at 20 ELIZABETH RD, SENOIA, GA - 30276-2524 (mailing address contact number: 770-599-4500).

Location: 444 Chestlehurst Rd, Senoia, GA, 30276-2524
person
Provider Profile Details
NPI Number
1992196364
Provider Name
Teki Mashawn Russell
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
444 Chestlehurst Rd, Senoia, GA, 30276-2524
Phone Number
770-599-4500
Fax Number
770-599-4500
Provider Enumeration Date
02/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
444 Chestlehurst Rd
City
State
Zip
30276-2505
Phone Number
770-599-4500
Fax Number
770-599-4500
person
Provider Business Mailing Address Details
Address
444 Chestlehurst Rd
City
State
Zip
30276-2505
Phone Number
770-599-4500
Fax Number
770-599-4500
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
OT002684 (Georgia)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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