Susan Russel
NPI #1184030280 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1184030280
- Entity Type
- Individual
- Name
- Susan Russel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jul 9, 2014
- Last Updated
- Jul 9, 2014
Practice Location
- Address
- 10915 W 133RD AVE
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303-9706
- Phone
- (219) 390-7498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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