Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLEY RUSSELL, OTR/L
Active Sole ProprietorSHELLEY RUSSELL, OTR/L is a Occupational Therapist healthcare provider located in PONCHATOULA, Louisiana. NPI 1417498387 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PONCHATOULA, LA
Registration Details
- NPI Number
- 1417498387
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2017 (9.3847355012877 yrs)
- Last Updated
- Mar 2, 2023
- Licenses
-
3637 (AL)OTT.Z12304 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
39210 LIVE OAK DRPONCHATOULA, LA, 704546664Browse LA providers · Browse ZIP 70454
- Phone
- 9855100282
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Pediatric Occupational Therapist
Other Occupational Therapist Providers in PONCHATOULA, LA
| Name | Credential | NPI |
|---|---|---|
| CARRIE L HIGGS | LOTR | 1861781478 |
| JAZMINE DE'NISE SCOTT | MS, OTR/L | 1659889459 |
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.