MRS. Sarah Ruth Russell, LPTA

NPI #1033471545 in Caseyville, Illinois

Provider Information

NPI Number: 1033471545
Entity Type: Individual
Name: MRS. Sarah Ruth Russell, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 601 W LINCOLN AVE
City: Caseyville
State: Illinois
ZIP Code: 62232-1306
Phone: (618) 344-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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