Individual provider · Type 1 NPI

Graycen Russell, OT

Occupational Therapist · Russellville, AR

NPI number 1316660921 Active

Practice location

2100 W Main St
Russellville, AR 72801-2758

Fax (479) 968-2538

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT2022-018 (AR)

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 1316660921

Graycen Russell, OT's National Provider Identifier is 1316660921, issued on Sep 20, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Russellville, AR. The record was last updated on Sep 20, 2022.