Individual
MR. BRYAN MICHAEL BUKSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7101 WEST 17TH AVENUE, GARY, IN 46406
(219) 944-4036
Mailing address
7101 WEST 17TH AVENUE, GARY, IN 46406
(219) 944-4036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006766A
IN
Other
Enumeration date
06/06/2006
Last updated
06/05/2008
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