Individual
MS. CHRISTA JEAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2901 E BARNETT RD, MEDFORD, OR 97504-8308
(541) 973-7330
Mailing address
2901 E BARNETT RD, MEDFORD, OR 97504-8308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5401
OR
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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