Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSA AUSSIEKER, PTA
Active Sole ProprietorRUSSA AUSSIEKER, PTA is a Occupational Therapist healthcare provider located in MINONK, Illinois. NPI 1497076103 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MINONK, IL
Registration Details
- NPI Number
- 1497076103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2010 (16.131243226304 yrs)
- Last Updated
- Jun 16, 2010
- License
-
160003378 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 LOCUST STMINONK, IL, 617601511Browse IL providers · Browse ZIP 61760
- Phone
- 3094322557
- Fax
- 3094323330
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MINONK, IL
| Name | Credential | NPI |
|---|---|---|
| AMY RICE | — | 1164775565 |
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.