| NPI | 1174144919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATA D. RUSSO Owner/Otr/L, Cht 860-969-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-06-17 |