IndividualActive
Caroline Russell
NPI 1609688753 · Occupational Therapist · Jackson, AL
Provider details
- NPI number
- 1609688753
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6596 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1001 College Ave
Jackson, AL 36545-2402
Phone: (251) 744-5124
Approximate (ZIP-level) locationGet directions
Mailing address
7291 Highway 41
Pontotoc, MS 38863-6705
Registry dates
- Enumerated
- 2025-01-24
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.