NPI 1003180472

Berkeley R Russ, COTAL

Practitioner Occupational Therapy Assistant Tecumseh, NE

Practice location

Address: 1133 N 3rd St, Tecumseh, NE 68450-2069
Phone: (402) 335-3357
Mailing address: 4523 Prescott Ave APT 4, Lincoln, NE 68506-4964

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 856 (NE)

Other Occupational Therapy Assistant providers in Nebraska →

Registry record

NPI: 1003180472
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2012
Record last updated: 2 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.