Individual
GAIL MARIA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1800 E LA VETA AVE, ORANGE, CA 92866-2902
(714) 633-7400
Mailing address
160 S SUMMERTREE RD, ANAHEIM, CA 92807-4023
(714) 637-5123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1762
CA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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