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Individual

MICHAEL E RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
117 MAIN ST, HEBRON, CT 06248-1519
(860) 264-1940
(860) 530-1850
Mailing address
5 HIGH RIDGE PARK FL 2, STAMFORD, CT 06905-1332
(203) 869-1145
(203) 618-1721

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9228
CT

Other

Enumeration date
12/22/2011
Last updated
04/17/2024
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