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

Individual provider Pediatric Occupational Therapist · NPI 1124078183

Kimberly Denise Russell, OT is a Pediatric Occupational Therapist in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

200 W Santa Ana Blvd 100
Santa Ana, CA 92701-4134
Phone: (714) 347-0312
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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 1649 (CA)

Record details

NPI number1124078183
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedMay 11, 2006
Last updated in NPPESJune 5, 2018

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