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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSANNA RUSSELL, MPT

Active

SUSANNA RUSSELL, MPT is a Physical Therapy Assistant healthcare provider located in LOS BANOS, California. NPI 1093016610 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOS BANOS, CA

Registration Details

NPI Number
1093016610
Provider Type
Individual
Gender
Female
NPI Issued
Nov 12, 2010 (15.765726473072 yrs)
Last Updated
Nov 12, 2010
License
23511 (CA)

Practice Information

Address
312 W J ST
LOS BANOS, CA, 936354073
Browse CA providers · Browse ZIP 93635
Phone
2098276178
Fax
2098276179
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LOS BANOS, CA

Name Credential NPI
MR. SCOTT KEVIN RUSSELL M.P.T. 1285742742
MR. MALCOLM DANIEL NATION PT 1770622599
RAYMOND BRADLEY DUNNE PHYSICAL THERAPIST 1194938134
ESTERE GALENIECE MORENO D.P.T. 1427352913
MR. LEOPOLDO L REYES P.T. 1497045884
GLENN ERNEST FABIAN 1013307610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.