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Individual

RENATA E ROSSAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2021 ALBANY AVE, WEST HARTFORD, CT 06117-2789
(860) 570-8266
Mailing address
17 ISAMAY DR, BRISTOL, CT 06010-4009
(860) 748-7205

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001451
CT

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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