Individual
SUSAN ANNE SIEKIERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(773) 467-5669
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05013180A
IN
225100000X
Physical Therapist
Primary
070007773
IL
Other
Enumeration date
11/28/2006
Last updated
05/15/2024
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