Andrew Russell, PT
NPI #1891371167 in Sebastopol, California
Provider Information
- NPI Number
- 1891371167
- Entity Type
- Individual
- Name
- Andrew Russell, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Mar 18, 2021
- Last Updated
- Dec 28, 2021
Practice Location
- Address
- 8180 STICH LN
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-3153
- Phone
- (510) 590-8417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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