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Individual

RUSSELL STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 HOPMEADOW ST, WEATOGUE, CT 06089-9782
(860) 651-0277
Mailing address
19 OAKRIDGE DR, GRANBY, CT 06035-2318

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14545
CT
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
06/04/2024
Last updated
08/07/2024
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