Tianna Russell
Tianna Russell is an Occupational Therapist in Clovis, California. Practices as a sole proprietor. Licensed in California and Oregon.
- Licensed in
- CA, OR
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
9077 N Fowler AveClovis, CA 93619-8626
Phone: (559) 304-7573
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 11089 (CA) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 264957 (OR) |
Record details
| NPI number | 1891152401 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2016 |
| Last updated in NPPES | January 27, 2016 |
| Mailing address | 9077 N Fowler Ave, Clovis, CA 93619-8626 |
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