Provider Demographics
NPI:1922338516
Name:RUSCIO SAMBLE, CHELSEA (MED)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:RUSCIO SAMBLE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1736
Mailing Address - Country:US
Mailing Address - Phone:413-219-1060
Mailing Address - Fax:
Practice Address - Street 1:131 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1736
Practice Address - Country:US
Practice Address - Phone:413-219-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor