Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Ann Russell

Individual provider Rehabilitation Practitioner · NPI 1912685629

Stephanie Ann Russell is a Rehabilitation Practitioner in Glendora, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4

Practice location Address checks out

1160 S Grand Ave
Glendora, CA 91740-5000
Phone: (626) 335-5980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Community Health Worker Taxonomy 172V00000X
Recreation Therapist Taxonomy 225800000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912685629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Other providers in Glendora