Individual
ROMAN LEONIDOVICH PISARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
81 BLISS ST, WEST SPRINGFIELD, MA 01089-3401
(413) 304-1078
Mailing address
81 BLISS ST, WEST SPRINGFIELD, MA 01089-3401
(413) 304-1078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10005
MA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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