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

STACIE RUSSELL, COTA

Active

STACIE RUSSELL, COTA is a Occupational Therapy Assistant healthcare provider located in VERONA, Wisconsin. NPI 1578105045 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · VERONA, WI

Registration Details

NPI Number
1578105045
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2019 (6.7958266164215 yrs)
Last Updated
Oct 16, 2019

Practice Information

Address
1049 N EDGE TRL
VERONA, WI, 535931942
Browse WI providers · Browse ZIP 53593
Phone
6088452100
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in VERONA, WI

Name Credential NPI
MARY NAWROCKI 1144435108
CAROLINE GRINDROD 1710152384
ALANE M BOUTELLE COTA 1821389115
CARLY REBECCA LYNCH COTA 1891379756
SARAH HURD COTA/L 1760217996
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.