COLLEEN RUSSELL

SAN LUIS OBISPO, CA
NPI1922173574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT32942)
Enumeration Date2006-11-21
Last Update Date2023-08-15
Business Address
COLLEEN RUSSELL PT
805 AEROVISTA PL SUITE 104
SAN LUIS OBISPO, CA 93401-7919
Phone number: 805-543-7771
Mailing Address
COLLEEN RUSSELL PT
408 HIGUERA ST STE 200
SAN LUIS OBISPO, CA 93401-6135
Phone number: 805-788-0805