Individual provider · Type 1 NPI

Judith Ann Russell, COTA/C

Occupational Therapy Assistant · Buffalo, NY

NPI number 1477858744 Active

Practice location

2495 Main St, Suite 234
Buffalo, NY 14214-2152

Call (716) 836-5929 Map

Fax (716) 836-6057

Mailing address

67 Jackson Ave
North Tonawanda, NY 14120-2603

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X005258-1 (NY)

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 1477858744

Judith Ann Russell, COTA/C's National Provider Identifier is 1477858744, issued on Jan 18, 2011. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Buffalo, NY. The record was last updated on Jan 18, 2011.