Michael E Russo, DPT

NPI #1689943417 in Hebron, Connecticut

Provider Information

NPI Number: 1689943417
Entity Type: Individual
Name: Michael E Russo, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 22, 2011
Last Updated: Apr 17, 2024

Practice Location

Address: 117 MAIN ST
City: Hebron
State: Connecticut
ZIP Code: 06248-1519
Phone: (860) 264-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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