Individual
KALI RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
301 CAMINO GARDENS BLVD, BOCA RATON, FL 33432-5823
(601) 951-9584
Mailing address
210 GARDEN DR, BRANDON, MS 39042-4209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3948
MS
225XP0200X
Pediatric Occupational Therapist
Primary
24097
FL
Other
Enumeration date
06/14/2022
Last updated
11/28/2023
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