SUSAN RUSSEL
Restorative Service Providers at 133 Ave, Cedar Lake, IN

License number
Indiana 06004488A
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
10915 W 133Rd Ave, Cedar Lake, IN 46303
Phone
(219) 390-7498
(219) 390-7549 (Fax)
National Provider ID: 1184030280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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