Individual provider · Type 1 NPI

Nicole Ann Russo, OTR/L

Occupational Therapist · East Syracuse, NY

NPI number 1699295469 Active

Practice location

6575 Kirkville Rd
East Syracuse, NY 13057-9809

Call (315) 701-5710 Map

Mailing address

8437 Fergerson Rd
Cicero, NY 13039-9713

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X021565 (NY)

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 1699295469

Nicole Ann Russo, OTR/L's National Provider Identifier is 1699295469, issued on Jun 22, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in East Syracuse, NY. The record was last updated on Jun 22, 2017.