Individual
DANIELLE RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15022 INVERNESS ST, SAN LEANDRO, CA 94579-1645
(510) 305-7113
Mailing address
15022 INVERNESS ST, SAN LEANDRO, CA 94579-1645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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