Individual provider · Type 1 NPI

Holly Russell, MS, OTR

Neurorehabilitation Occupational Therapist · Indianapolis, IN

NPI number 1285918052 Active

Practice location

10320 N New Jersey St
Indianapolis, IN 46280-1360

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X06720 (MD)
Neurorehabilitation Occupational Therapist Primary 225XN1300X31003599A (IN)

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About NPI 1285918052

Holly Russell, MS, OTR's National Provider Identifier is 1285918052, issued on Sep 28, 2011. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 28, 2011.