Russo, Vanessa Edythe

Russo, Vanessa Edythe is an individual health care provider with primary practice located at 157 Salem Dr , Cromwell CT 06416-1239. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Russo, Vanessa Edythe can be contacted via phone (860) 301-2659.

Contact Information

Primary practice address
157 Salem Dr Cromwell CT 06416-1239
Phone: (860) 301-2659
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3125 Connecticut

Profile Details

NPI number 1902022304
LBN Legal business name Russo, Vanessa Edythe
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated May 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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