Individual
SUSAN MARIE NAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT, ASTYM CERT
Contact information
Practice address
180 S 3RD ST, BELLEVILLE, IL 62220-1952
(618) 234-9152
(618) 222-4661
Mailing address
180 S 3RD ST, BELLEVILLE, IL 62220-1952
(618) 234-9152
(618) 222-4661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007633
IL
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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