Individual provider · Type 1 NPI

Stephanie Russo

Rehabilitation Practitioner · Westminster, CA

NPI number 1699904730 Active

Practice location

13950 Milton Ave Ste 306
Westminster, CA 92683-2939

Mailing address

PO Box 16513
Irvine, CA 92623-6513

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 1699904730

Stephanie Russo's National Provider Identifier is 1699904730, issued on Jul 10, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Westminster, CA. The record was last updated on Jul 10, 2009.