Individual provider · Type 1 NPI

Kim Koehler Russell, OTR/L

Hand Occupational Therapist · San Diego, CA

NPI number 1184866899 Active

Practice location

3666 Kearny Villa Rd, Suite 308
San Diego, CA 92123-1951

Call (858) 505-5460 Map

Mailing address

715 Colima Street
La Jolla, CA 92037

Specialties and licenses

TaxonomyCodeLicense
Hand Occupational Therapist Primary 225XH1200X9543 (CA)

Hand Occupational Therapist: Definition to come...

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About NPI 1184866899

Kim Koehler Russell, OTR/L's National Provider Identifier is 1184866899, issued on Mar 26, 2009. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in San Diego, CA. The record was last updated on Mar 26, 2009.