Individual
DAVID VINCENT BUSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10475 READING RD, SUITE 209, CINCINNATI, OH 45241-2563
(513) 281-2278
(513) 221-8219
Mailing address
10475 READING RD, SUITE 209, CINCINNATI, OH 45241-2563
(513) 281-2278
(513) 221-8219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006017
KY
225100000X
Physical Therapist
Primary
PT10010
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063817
—
OH
05
—
7100207820
—
KY
Enumeration date
12/21/2011
Last updated
04/17/2013
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