Individual
VANESSA EDYTHE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 DEMING ST, MANCHESTER, CT 06042-1778
(959) 246-8166
Mailing address
230 DEMING ST, MANCHESTER, CT 06042-1778
(959) 246-8166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3125
CT
Other
Enumeration date
04/17/2007
Last updated
09/14/2025
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