Kristen Russell, COTA/L

NPI #1013246669 in Boise, Idaho

Provider Information

NPI Number
1013246669
Entity Type
Individual
Name
Kristen Russell, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Dec 10, 2009
Last Updated
Dec 10, 2009

Practice Location

Address
3169 S BOWN WAY
City
Boise
State
Idaho
ZIP Code
83706-5400
Phone
(208) 433-9152

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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