Russa Aussieker, PTA

NPI #1497076103 in Minonk, Illinois

Provider Information

NPI Number: 1497076103
Entity Type: Individual
Name: Russa Aussieker, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 16, 2010
Last Updated: Jun 16, 2010

Practice Location

Address: 201 LOCUST ST
City: Minonk
State: Illinois
ZIP Code: 61760-1511
Phone: (309) 432-2557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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