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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS BERKELEY R RUSS, COTA/L

Active

MISS BERKELEY R RUSS, COTA/L is a Occupational Therapy Assistant healthcare provider located in TECUMSEH, Nebraska. NPI 1003180472 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · TECUMSEH, NE

Registration Details

NPI Number
1003180472
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2012 (14.454119621769 yrs)
Last Updated
Mar 2, 2012
License
856 (NE)

Practice Information

Address
1133 N 3RD ST
TECUMSEH, NE, 684502069
Browse NE providers · Browse ZIP 68450
Phone
4023353357
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.