Russell, Stephanie Ann

Russell, Stephanie Ann is an individual health care provider with primary practice located at 1160 S Grand Ave , Glendora CA 91740-5000. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Russell, Stephanie Ann can be contacted via phone (626) 335-5980.

Contact Information

Primary practice address
1160 S Grand Ave Glendora CA 91740-5000
Phone: (626) 335-5980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1912685629
LBN Legal business name Russell, Stephanie Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2023
Last updated Jun 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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