Individual
RUSSELL JOHN GRANT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
821 S TREMONT ST STE A, OCEANSIDE, CA 92054-4158
(760) 542-6666
Mailing address
3554 VILLAGE COMMERCIAL DR APT 204, OCEANSIDE, CA 92056-2421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
307133
CA
2251X0800X
Orthopedic Physical Therapist
Primary
307133
CA
Other
Enumeration date
11/07/2024
Last updated
12/30/2025
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