Individual provider · Type 1 NPI

Shannon Raye Russell, OTR/L

Occupational Therapist · Houston, TX

NPI number 1780061697 Active

Practice location

1515 Holcombe Blvd, Unit 98
Houston, TX 77030

Call (713) 792-3192 Map

Mailing address

905 S Ripple Creek Dr
Houston, TX 77057

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X116015 (TX)

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 1780061697

Shannon Raye Russell, OTR/L's National Provider Identifier is 1780061697, issued on Apr 29, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Houston, TX. The record was last updated on Apr 29, 2015.