Kristie Russell, COTA

NPI 1326367061 · on the registry since 2010 · sole proprietor

Practice

Address: 2120 Marshall Edwards Dr
Bartow, FL 33830
Phone: (863) 534-1862
Fax: (863) 619-6059
Organisation at this address: Polk County Board Of County Commissioners (Polk County Bocc)
Polk County, A Political Subdivision Of The State Of Florida
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida