National Provider Identifier
Pamela Gerard Russell, OTR/L
Pamela Gerard Russell, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Holland, NY and a listed phone number of (716) 537-8275.
Profile Overview
- NPI
- 1760750517
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 08, 2011
- Last Updated
- December 08, 2011
Practice Location
- 11720 Partridge RD
- Holland, NY 14080-9800
Phone: (716) 537-8275
Mailing Address
- 12022 Mortons Corners RD
- Springville, NY 14141-9737
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1760750517
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Pamela
- Middle Name
- Gerard
- Name Prefix
- Mrs.
- Credential
- OTR/L
- Provider Other Last Name
- Gerard
- Provider Other First Name
- Pamela
- Provider Other Middle Name
- Jean
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- OTR/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 12022 Mortons Corners RD
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-9737
- Mailing Country
- US
- Mailing Phone
- (716) 592-5451
- Practice Street Address
- 11720 Partridge RD
- Practice City
- Holland
- Practice State
- NY
- Practice ZIP Code
- 14080-9800
- Practice Country
- US
- Practice Phone
- (716) 537-8275
- Enumeration Date
- December 08, 2011
- Last Updated
- December 08, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)