NPI 1013246669

Kristen Russell, COTAL

Practitioner Occupational Therapy Assistant Boise, ID

Practice location

Address: 3169 S Bown Way, Boise, ID 83706-5400
Phone: (208) 433-9152
Fax: (208) 344-4752

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-094 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Registry record

NPI: 1013246669
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2009
Record last updated: 10 Dec 2009

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.