Individual
ANDREW JOHN PUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PT
Contact information
Practice address
1600 SMITH KRAMER ST NE, HARTVILLE, OH 44632-9467
(516) 810-7521
Mailing address
1600 SMITH KRAMER ST NE, HARTVILLE, OH 44632-9467
(516) 810-7521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012733
OH
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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