Bryan Clint Russell
Bryan Clint Russell is a Physical Therapist in Private Practice in Coronado, California. Qualified in 2018, 8 years ago. Practices with One Life Physical Therapy Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
160 C AveCoronado, CA 92118-1420
Phone: (619) 319-5992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence PT295117 (CA) |
|---|
Record details
| NPI number | 1407320260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 15, 2019 |
| Last updated in NPPES | January 15, 2019 |
| Mailing address | 6621 Archwood Ave, San Diego, CA 92120-2401 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | One Life Physical Therapy Inc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Coronado
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Dr. Alfred Phiilip Luppi II, MD
868 A Ave, Coronado, CA 92118-2646 · (619) 435-1079