Stephanie Ann Russell
NPI #1912685629 in Glendora, California
Provider Information
- NPI Number
- 1912685629
- Entity Type
- Individual
- Name
- Stephanie Ann Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Jul 11, 2023
- Last Updated
- Jun 4, 2024
Practice Location
- Address
- 1160 S GRAND AVE
- City
- Glendora
- State
- California
- ZIP Code
- 91740-5000
- Phone
- (626) 335-5980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
| Community Health Worker |
| Recreation Therapist |
| Student in an Organized Health Care Education/Training Program |
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