LORI RENE RUSSELL

FAIRFIELD, CA
NPI1255741724
Former NameLORI RENE MARTINEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  438)
Enumeration Date2014-05-05
Last Update Date2022-09-14
Business Address
LORI RENE RUSSELL OT
2500 HILBORN RD
FAIRFIELD, CA 94534-1097
Phone number: 707-646-5599
Mailing Address
LORI RENE RUSSELL OT
1200 B GALE WILSON BLVD ATTN: REHAB DEPARTMENT
FAIRFIELD, CA 94533-3552
Phone number: 707-624-7470
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