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Individual

BRUCE SIBBERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 824-7109
Mailing address
927 BEXLEY DR, PERRYSBURG, OH 43551-2962

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017003
MI

Other

Enumeration date
08/03/2018
Last updated
08/03/2018
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