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Individual

ROSS BISERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1904 SKY PARK DR, MEDFORD, OR 97504-4735
(541) 773-2999
Mailing address
3163 JUNIPER RDG APT 4, MEDFORD, OR 97504-5780
(808) 269-3028

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09184
OR

Other

Enumeration date
11/10/2015
Last updated
11/10/2015
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