Individual provider · Type 1 NPI

Katelyn Ann Russell, COTA/L

Occupational Therapy Assistant · Danville, IL

NPI number 1154829885 Active

Practice location

620 Warrington Ave
Danville, IL 61832-5446

Call (217) 446-0660 Map

Fax (217) 446-9839

Mailing address

2251 W Stone Bluff Rd
Covington, IN 47932-8103

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.003857 (IL)

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 1154829885

Katelyn Ann Russell, COTA/L's National Provider Identifier is 1154829885, issued on Jan 29, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Danville, IL. The record was last updated on Jan 29, 2018.