Individual
KIMBERLY J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
135 S BARRINGTON PL, LOS ANGELES, CA 90049-3305
(310) 472-2121
(310) 472-4567
Mailing address
970 MONUMENT STREET, SUITE 207, PACIFIC PALISADES, CA 90272
(310) 573-9553
(310) 573-9533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6220035-2401
UT
2251X0800X
Orthopedic Physical Therapist
Primary
35709
CA
Other
Enumeration date
08/14/2006
Last updated
02/07/2011
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