SearchIllinoisPhysical Therapy Assistant

Gail Russell, LPTA

NPI 1124220082 · on the registry since 2007

Practice

Address
5224 N. 200th St
Oblong, IL 62449
Phone
(618) 592-6353
Fax
(618) 546-2635

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois