Anita C Russell
NPI #1659636074 in Tolland, Connecticut
Provider Information
- NPI Number
- 1659636074
- Entity Type
- Individual
- Name
- Anita C Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jul 11, 2012
- Last Updated
- Jul 11, 2012
Practice Location
- Address
- 26 SHENIPSIT LAKE RD
- City
- Tolland
- State
- Connecticut
- ZIP Code
- 06084-2332
- Phone
- (860) 872-2999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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