Bergen D Russon is a recreation therapist in South Jordan, UT. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Bergen D Russon NPI is 1861952913. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11175 S REDWOOD RD
SOUTH JORDAN, UT
ZIP 84095-208
Phone: (801) 359-4600
The enumeration date for this NPI number is 3/24/2019 and was last updated on 3/24/2019.