# RUSSO THERAPEUTICS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174144919
- **Authorized official:** MRS. BEATA D. RUSSO M.ED OTR/L, CHT (OWNER/OTR/L, CHT)
- **Authorized official phone:** (860) 969-0207

## Contact information

- **Practice address:** 561 KING STREET, SOUTH WINDSOR, CT 06074
- **Practice address phone:** (860) 969-0207
- **Practice address fax:** (833) 491-0465
- **Mailing address:** 850 CLARK STREET \# 1382, SOUTH WINDSOR, CT 06074
- **Mailing address phone:** (860) 969-0207
- **Mailing address fax:** (833) 491-0465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 06/17/2020