Individual provider · Type 1 NPI

Monick Vivian Russell

Rehabilitation Practitioner · Pasadena, CA

NPI number 1689809485 Active

Practice location

2550 E Foothill Blvd
Pasadena, CA 91107-3406

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1689809485

Monick Vivian Russell's National Provider Identifier is 1689809485, issued on May 21, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on Jun 2, 2009.