National Provider Identifier
Judith Ann Russell, COTA/C
Judith Ann Russell, COTA/C is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 836-5929.
Profile Overview
- NPI
- 1477858744
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- January 18, 2011
- Last Updated
- January 18, 2011
Practice Location
- 2495 Main St
- Suite 234
- Buffalo, NY 14214-2152
Phone: (716) 836-5929
Mailing Address
- 67 Jackson Ave
- North Tonawanda, NY 14120-2603
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1477858744
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Judith
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- COTA/C
- Mailing Street Address
- 67 Jackson Ave
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2603
- Mailing Country
- US
- Mailing Phone
- (716) 692-1801
- Practice Street Address
- 2495 Main St
- Practice Address Line 2
- Suite 234
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2152
- Practice Country
- US
- Practice Phone
- (716) 836-5929
- Practice Fax
- (716) 836-6057
- Enumeration Date
- January 18, 2011
- Last Updated
- January 18, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)