| Tianna Russell, | |
|
9077 N Fowler Ave, Clovis, CA 93619-8626 | |
| (559) 304-7573 | |
| Not Available |
| Full Name | Tianna Russell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 9077 N Fowler Ave, Clovis, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891152401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 11089 (California) | Primary |
| 225X00000X | Occupational Therapist | 264957 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Tianna Russell, 9077 N Fowler Ave, Clovis, CA 93619-8626 Ph: () - | Tianna Russell, 9077 N Fowler Ave, Clovis, CA 93619-8626 Ph: (559) 304-7573 |
Teodoro Munoz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 W Alluvial Ave, Clovis, CA 93611 Phone: 559-323-6200 | |
Christian Grabenstein, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 Keats Ave, Clovis, CA 93611 Phone: 559-500-9085 | |
Marivic Lo Racho, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4027 Chessa Ln, Clovis, CA 93619 Phone: 559-326-7365 Fax: 559-326-7365 | |
Rachael Marie Mayu, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 650 W Alluvial Ave, Clovis, CA 93611 Phone: 636-448-0696 | |
Redentor Codilla Jr., Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4013 Heritage Ln, Clovis, CA 93619 Phone: 559-203-0105 | |
Dana Schmalzel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10886 Bernadine Ave, Clovis, CA 93619 Phone: 559-392-8860 | |
Rebecca Jackson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 606 N Magnolia Ave, Clovis, CA 93611 Phone: 559-321-8162 Fax: 559-472-3559 |