Individual provider · Type 1 NPI

Jessica Russell

Occupational Therapist · Shreveport, LA

NPI number 1043693872 Active

Practice location

302 Sadie Douglas Cir
Shreveport, LA 71106-7689

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTT.Z11253 (LA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1043693872

Jessica Russell's National Provider Identifier is 1043693872, issued on Jun 29, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shreveport, LA. The record was last updated on Jun 29, 2015.