DAVID RUSSAK

SHERMAN OAKS, CA
NPI1508255498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  41595)
Enumeration Date2015-01-14
Last Update Date2022-10-25
Business Address
DAVID RUSSAK
14748 HARTSOOK ST
SHERMAN OAKS, CA 91403
Phone number: 818-309-3630
Mailing Address
DAVID RUSSAK
250 N COLLEGE PARK DR UNIT #S33
UPLAND, CA 91786-8883
Phone number: