Individual provider · Type 1 NPI

Amanda Rae Russell

Occupational Therapy Assistant · St. Louis, MO

NPI number 1982334173 Active

Practice location

9350 Green Park Rd
St. Louis, MO 63123-7211

Call (413) 845-0900 Map

Mailing address

1607 Oriole Ln
Brentwood, MO 63144-1110

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2018032994 (MO)

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 1982334173

Amanda Rae Russell's National Provider Identifier is 1982334173, issued on Jun 12, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 12, 2022.