Susanna Russell, MPT
NPI #1093016610 in Los Banos, California
Provider Information
- NPI Number
- 1093016610
- Entity Type
- Individual
- Name
- Susanna Russell, MPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Nov 12, 2010
- Last Updated
- Nov 12, 2010
Practice Location
- Address
- 312 W J ST
- City
- Los Banos
- State
- California
- ZIP Code
- 93635-4073
- Phone
- (209) 827-6178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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