Individual provider · Type 1 NPI

Lynn Russom, COTA

Occupational Therapy Assistant · Houston, TX

NPI number 1134612781 Active

Practice location

4100 N Sam Houston Pkwy W # PSTE240
Houston, TX 77086-1465

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1134612781

Lynn Russom, COTA's National Provider Identifier is 1134612781, issued on Jun 8, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Houston, TX. The record was last updated on Jun 8, 2018.