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

SUSAN RUSSEL

Active

SUSAN RUSSEL is a Occupational Therapist healthcare provider located in CEDAR LAKE, Indiana. NPI 1184030280 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CEDAR LAKE, IN

Registration Details

NPI Number
1184030280
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2014 (12.072884720191 yrs)
Last Updated
Jul 9, 2014
License
06004488A (IN)

Practice Information

Address
10915 W 133RD AVE
CEDAR LAKE, IN, 463039706
Browse IN providers · Browse ZIP 46303
Phone
2193907498
Fax
2193907549
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in CEDAR LAKE, IN

Name Credential NPI
SANDRA LEE BOHLMAN PTA 1952081325
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.