NPI 1174948152

Erica Russell, AT

Practitioner Athletic Trainer Norwalk, CT

Practice location

Address: 284 East Ave APT C, Norwalk, CT 06855-1920
Phone: (845) 531-8229

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 002246-1 (NY)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1174948152
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2014
Record last updated: 27 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.