IndividualActive
Berkeley Russ, COTA/L
NPI 1003180472 · Occupational Therapy Assistant · Tecumseh, NE
Provider details
- NPI number
- 1003180472
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 856 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1133 N 3rd St
Tecumseh, NE 68450-2069
Phone: (402) 335-3357
Approximate (ZIP-level) locationGet directions
Mailing address
4523 Prescott Ave Apt 4
Lincoln, NE 68506-4964
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2012-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.