Individual
ELIZABETH MORAIS-RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
584 LONG HILL AVE, SHELTON, CT 06484-4810
(203) 944-8252
Mailing address
2 CHAMBERLAIN DR, SHELTON, CT 06484-2617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001338
CT
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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