Beata Russo
Occupational Therapist Occupational Therapist - Hand
561 King St
South Windsor
, Connecticut 06074
Beata Russo
Occupational Therapist Occupational Therapist - Hand
561 King St
South Windsor
, Connecticut 06074
(860) 969-0207
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Beata Russo
- 850 Clark St Unit 1382
- South Windsor, CT
- Zip : 06074-7755
- Phone : (860) 969-0207
Second Address
- Beata Russo
- 561 King St
- South Windsor, CT
- Zip : 06074
- Phone : (860) 969-0207
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FAQs
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Is Beata Russo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 002840 | CT |
| N | 225XH1200X | Occupational Therapist - Hand |
National Provider Identifier
| NPI | 1104157148 |
|---|---|
| Provider Name | Beata Russo |
| First Address | South Windsor, CT 06074-7755 |
| Second Address | South Windsor, CT 06074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2010 |
| Last Update Date | 17/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.