Individual provider · Type 1 NPI

Jennifer Russell, COTA

Occupational Therapy Assistant · Waco, TX

NPI number 1497065577 Active

Practice location

6804 Sanger Ave, #227
Waco, TX 76710-4257

Call (800) 340-4098 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X403816 (TX)

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 1497065577

Jennifer Russell, COTA's National Provider Identifier is 1497065577, issued on Oct 7, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Waco, TX. The record was last updated on Oct 7, 2010.