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Individual

BRUCE PISAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
698 MORRISON RD, COLUMBUS, OH 43213-4419
(614) 868-1115
Mailing address
208 DONERAIL AVE, POWELL, OH 43065-9138
(614) 218-6597

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008426
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2698335
OH
Enumeration date
01/08/2007
Last updated
07/08/2007
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