| Russo Therapeutics, Llc | |
|
561 King Street, South Windsor, CT 06074 | |
| (860) 969-0207 | |
| (833) 491-0465 |
| Full Name | Russo Therapeutics, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 561 King Street, South Windsor, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174144919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Secondary |
| Provider Name | Julie Bousquet |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780614313 PECOS PAC ID: 3971593187 Enrollment ID: I20040518000326 |
| Provider Name | Beata Russo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104157148 PECOS PAC ID: 1557658101 Enrollment ID: I20160926000140 |
| Provider Name | Whitney Ann Burns |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790007987 PECOS PAC ID: 5698161065 Enrollment ID: I20220412001237 |
| Provider Name | Brooke Ellis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871253286 PECOS PAC ID: 6709277569 Enrollment ID: I20220901000181 |
| Provider Name | Rachel Dagostino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245948090 PECOS PAC ID: 9133598667 Enrollment ID: I20221206000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Russo Therapeutics, Llc 850 Clark Street # 1382, South Windsor, CT 06074 Ph: (860) 969-0207 | Russo Therapeutics, Llc 561 King Street, South Windsor, CT 06074 Ph: (860) 969-0207 |
Jennifer Bellody, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 158 Orchard Hill Dr, South Windsor, CT 06074 Phone: 860-306-1240 | |
Beata Russo, M.ED, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 561 King St, South Windsor, CT 06074 Phone: 860-969-0207 | |
Karen Ball, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Oakland Rd, South Windsor, CT 06074 Phone: 860-969-0207 | |
Margaret Carey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Evergreen Way, South Windsor, CT 06074 Phone: 860-851-9328 | |
Ligi-elin Jacob Milord, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 Sullivan Ave Ste 3, South Windsor, CT 06074 Phone: 860-644-2335 | |
Madelyn Rae Bedard, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 Sullivan Ave Ste 3, South Windsor, CT 06074 Phone: 860-644-2335 |