Organization
RUSSO, FLECK & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FLECK (OWNER/OTR)
(714) 836-7886
Entity
Organization
Contact information
Practice address
960 W TOWN AND COUNTRY RD, ORANGE, CA 92868-4714
(714) 836-7886
(714) 836-1109
Mailing address
960 W TOWN AND COUNTRY RD, ORANGE, CA 92868-4714
(714) 836-7886
(714) 836-1109
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
OT 3204
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 11241
CA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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