Individual
MRS. KELLY RUSSO STONE
Active
Individual
MRS. KELLY RUSSO STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
OTT.Z1156
LA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OTT.Z1156
LA
225XM0800X
Mental Health Occupational Therapist
OTT.Z1156
LA
225XN1300X
Neurorehabilitation Occupational Therapist
OTT.Z1156
LA
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z1156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450514
—
LA
Enumeration date
06/11/2009
Last updated
06/20/2023
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