SHAUN DOUGLAS RUSSELL

ENCINO, CA
NPI1366154155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  303246)
Enumeration Date2022-12-23
Last Update Date2022-12-23
Business Address
SHAUN DOUGLAS RUSSELL DPT
16830 VENTURA BLVD STE 150
ENCINO, CA 91436-1722
Phone number: 818-986-1203
Mailing Address
SHAUN DOUGLAS RUSSELL DPT
16830 VENTURA BLVD STE 150
ENCINO, CA 91436-1722
Phone number: 818-986-1203
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