Individual
MS. SUSAN MARIE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5540 W 111TH ST, OAK LAWN, IL 60453-5574
(708) 422-1311
(708) 422-1812
Mailing address
5540 W 111TH ST, OAK LAWN, IL 60453-5574
(708) 422-1311
(708) 422-1812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001973
IL
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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