Keisha A Russell in Atlanta - Occupational Therapist
Keisha A Russell - NPI 1306042320
Keisha A Russell is a Occupational Therapist in Atlanta, Georgia. Keisha A Russell practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Keisha A Russell is 1306042320. The last update date is 2008-02-08.
Keisha A Russell's current location address is 675 Seminole Ave Ne, Atlanta, Georgia. You can contact this provider via phone number 4045754000. The mailing address for Keisha A Russell is 675 Seminole Ave Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keisha A Russell |
|---|---|
| Address | 675 Seminole Ave Ne, Atlanta, Georgia |
| Phone Number | 4045754000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR L |
NPI Number Detail
| NPI Number | 1306042320 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 675 Seminole Ave Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303073408 |
| Phone Number | 4045754000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT002185 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code assigned to Keisha A Russell by the Centers for Medicare & Medicaid Services?
The Keisha A Russell has been issued the NPI (National Provider Identifier) 1306042320 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Keisha A Russell?
The Keisha A Russell is physically situated at 675 Seminole Ave Ne, in the city of Atlanta, state of GA, with the postal code 303073408.
What is the Keisha A Russell's specialty and taxonomy code?
The Keisha A Russell's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306042320 to Keisha A Russell?
The Centers for Medicare & Medicaid Services assigned the 1306042320 to Keisha A Russell on 2007-06-26.
When was the information regarding Keisha A Russell most recently updated?
The details pertaining to the Keisha A Russell, including its address, specialty, and other relevant information, were last refreshed on 2008-02-08.
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