Individual
KAREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LEEDER HILL DR, HAMDEN, CT 06517-2758
(860) 848-2631
Mailing address
41 CENTRAL AVE, NORTH HAVEN, CT 06473-2702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001217
CT
Other
Enumeration date
10/23/2015
Last updated
05/31/2024
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