Individual
MICHELLE E RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
1145 RESERVOIR AVE STE 210, CRANSTON, RI 02920-6000
(401) 749-0662
Mailing address
1145 RESERVOIR AVE STE 210, CRANSTON, RI 02920-6000
(401) 749-0662
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT00862
RI
Other
Enumeration date
07/01/2008
Last updated
07/08/2025
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