Individual provider · Type 1 NPI

Tyler Russell

Occupational Therapist · Dearborn, MI

NPI number 1548069735 Active

Practice location

22731 Newman St Ste 100B
Dearborn, MI 48124-2023

Call (313) 791-0616 Map

Mailing address

280 Xavier Cir, Windsor, On, N8N 0J3
Windsor, ONTARIO N8N 0J3

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1548069735

Tyler Russell's National Provider Identifier is 1548069735, issued on Mar 10, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Dearborn, MI. The record was last updated on Mar 10, 2025.