Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Honora Russell, MSOTL

Individual provider Occupational Therapist · NPI 1306146550

Honora Russell, MSOTL is an Occupational Therapist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

2999 Cleveland Ave Ste D
Santa Rosa, CA 95403-2761
Phone: (707) 546-9160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT 6127 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence OT 6127 (CA)

Record details

NPI number1306146550
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTL
Sole proprietorYes
NPI enumeratedOctober 21, 2010
Last updated in NPPESOctober 21, 2010

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