Individual provider · Type 1 NPI

Vanessa Edythe Russo, OTR/L

Occupational Therapist · Manchester, CT

NPI number 1902022304 Active

Practice location

230 Deming St
Manchester, CT 06042-1778

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3125 (CT)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1902022304

Vanessa Edythe Russo, OTR/L's National Provider Identifier is 1902022304, issued on Apr 17, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Manchester, CT. The record was last updated on Sep 14, 2025.