Kimberly Denise Russell, OT

NPI #1124078183 in Santa Ana, California

Provider Information

NPI Number
1124078183
Entity Type
Individual
Name
Kimberly Denise Russell, OT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OT
Enumeration Date
May 11, 2006
Last Updated
Jun 5, 2018

Practice Location

Address
200 W SANTA ANA BLVD
Address 2
100
ZIP Code
92701-4134
Phone
(714) 347-0312

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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