ERICA RUSSELL

NORWALK, CT
NPI1174948152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  002246-1)
Enumeration Date2014-02-27
Last Update Date2014-02-27
Business Address
-- ERICA RUSSELL A.T.
284 EAST AVE APT C
NORWALK, CT 06855-1920
Phone number: 845-531-8229
Mailing Address
-- ERICA RUSSELL A.T.
284 EAST AVE APT C
NORWALK, CT 06855-1920
Phone number: 845-531-8229
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