National Provider Identifier
Kaitlyn Nicole Russell, MS, OTR/L
Kaitlyn Nicole Russell, MS, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Rochester, NY and a listed phone number of (315) 437-4689.
Profile Overview
- NPI
- 1255039384
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- February 17, 2023
- Last Updated
- February 17, 2023
Practice Location
- 2099 W Ridge RD
- Rochester, NY 14626-2728
Phone: (315) 437-4689
Mailing Address
- 367 Bills RD
- Macedon, NY 14502-9334
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1255039384
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Kaitlyn
- Middle Name
- Nicole
- Credential
- MS, OTR/L
- Mailing Street Address
- 367 Bills RD
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-9334
- Mailing Country
- US
- Mailing Phone
- (585) 626-8851
- Practice Street Address
- 2099 W Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-2728
- Practice Country
- US
- Practice Phone
- (315) 437-4689
- Enumeration Date
- February 17, 2023
- Last Updated
- February 17, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)