NPI 1043693872

Jessica Russell

Practitioner Occupational Therapist Shreveport, LA

Practice location

Address: 302 Sadie Douglas Cir, Shreveport, LA 71106-7689
Phone: (318) 465-3743

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTT.Z11253 (LA)

Other Occupational Therapist providers in Louisiana →

Registry record

NPI: 1043693872
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2015
Record last updated: 29 Jun 2015

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.