Individual
SAMANTHA BRUESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1870 SILVER CROSS BLVD STE 200, NEW LENOX, IL 60451-8646
(815) 463-5324
(815) 462-4004
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007691
IL
Other
Enumeration date
03/20/2017
Last updated
03/17/2023
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