Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL LAMAR LOCKE SR., COTA/L
Active Sole ProprietorRUSSELL LAMAR LOCKE SR., COTA/L is a Occupational Therapy Assistant healthcare provider located in TITUSVILLE, Florida. NPI 1891256277 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · TITUSVILLE, FL
Registration Details
- NPI Number
- 1891256277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2019 (7.3479204485518 yrs)
- Last Updated
- Mar 27, 2019
- License
-
OTA10650 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1705 JESS PARRISH CTTITUSVILLE, FL, 327962158Browse FL providers · Browse ZIP 32796
- Phone
- 3212695720
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in TITUSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. JENNIFER ELEANOR KOFFMAN | COTA/L | 1992095152 |
| KATHRYN KINCANNON | COTA/L | 1083985535 |
| MATTHEW SIMMONS | COTA/L | 1437494770 |
| DANIELLE HANES | COTA | 1568702975 |
| AUDREY NARDONE | — | 1851839690 |
| RACHEL BURLINGAME | COTA/L | 1215591482 |
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.