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Bryan Russell
NPI 1407320260 · on the registry since 2019
Practice
- Address
- 160 C Ave
Coronado, CA 92118 - Phone
- (619) 319-5992
- Organisation at this address
- One Life Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician
208100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California