ANDREW RUSSELL

SEBASTOPOL, CA
NPI1891371167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2021-03-18
Last Update Date2021-12-28
Business Address
ANDREW RUSSELL PT
8180 STICH LN
SEBASTOPOL, CA 95472-3153
Phone number: 510-590-8417
Mailing Address
ANDREW RUSSELL PT
8180 STICH LN
SEBASTOPOL, CA 95472-3153
Phone number: 510-590-8417