Individual provider · Type 1 NPI

Stephanie Ann Russell

Rehabilitation Practitioner · Glendora, CA

NPI number 1912685629 Active

Practice location

1160 S Grand Ave
Glendora, CA 91740-5000

Call (626) 335-5980 Map

Mailing address

1126 N Grand Ave
Covina, CA 91724-1551

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Community Health Worker 172V00000XNone listed
Recreation Therapist 225800000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1912685629

Stephanie Ann Russell's National Provider Identifier is 1912685629, issued on Jul 11, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Glendora, CA. The record was last updated on Jun 4, 2024.