KRISTEN RUSSELL, COTA/L

Occupational Therapy Assistant

Active Individual
NPI: 1013246669

Practice Address

3169 S BOWN WAY
Boise, ID 83706

Phone: (208) 433-9152

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes OTA-094 (ID)

Frequently Asked Questions

NPI 1013246669 is the National Provider Identifier for KRISTEN RUSSELL, COTA/L, a Occupational Therapy Assistant provider located in Boise, ID. This NPI was enumerated on December 10, 2009.
KRISTEN RUSSELL, COTA/L practices at 3169 S BOWN WAY, Boise, ID 83706.

Quick Facts

NPI
1013246669
Type
Individual
Enumerated
Dec 10, 2009
Last Updated
Dec 10, 2009

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