Susan Russel
Susan Russel is a Physical Therapy Assistant in Cedar Lake, Indiana. Licensed in Indiana. Registered with an NPI since 2014.
- Licensed in
- IN
- In the registry since
- 2014
Practice location Address checks out
10915 W 133rd AveCedar Lake, IN 46303-9706
Phone: (219) 390-7498
Fax: (219) 390-7549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 06004488A (IN) |
|---|
Record details
| NPI number | 1184030280 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 9, 2014 |
| Last updated in NPPES | July 9, 2014 |
| Mailing address | 10915 W 133rd Ave, Cedar Lake, IN 46303-9706 |
Other providers in Cedar Lake
-
Sandra Lee Bohlman, PTA
11555 Kennedy Pl, Cedar Lake, IN 46303-8208 · (708) 567-4327