Individual provider · Type 1 NPI

Kristen Russell, COTA/L

Occupational Therapy Assistant · Boise, ID

NPI number 1013246669 Active

Practice location

3169 S Bown Way
Boise, ID 83706-5400

Call (208) 433-9152 Map

Fax (208) 344-4752

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA-094 (ID)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1013246669

Kristen Russell, COTA/L's National Provider Identifier is 1013246669, issued on Dec 10, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2009.