Jennifer Russell, COTA

NPI #1497065577 in Waco, Texas

Provider Information

NPI Number
1497065577
Entity Type
Individual
Name
Jennifer Russell, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Oct 7, 2010
Last Updated
Oct 7, 2010

Practice Location

Address
6804 SANGER AVE
Address 2
#227
City
Waco
State
Texas
ZIP Code
76710-4257
Phone
(800) 340-4098

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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