Individual
MR. LEO MARTIN DUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
898 SW 4TH AVE, ONTARIO, OR 97914-2627
(541) 881-7330
Mailing address
2615 CLEVELAND BLVD, CALDWELL, ID 83605-4440
(208) 454-9223
(208) 454-9328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5729
OR
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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