SUSAN RUSSEL

CEDAR LAKE, IN
NPI1184030280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004488A)
Enumeration Date2014-07-09
Last Update Date2014-07-09
Business Address
-- SUSAN RUSSEL
10915 W 133RD AVE
CEDAR LAKE, IN 46303-9706
Phone number: 219-390-7498
Mailing Address
-- SUSAN RUSSEL
10915 W 133RD AVE
CEDAR LAKE, IN 46303-9706
Phone number: 219-390-7498
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