Individual
ANGELA PERUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 DELHI RD, HEALTH SCIENCE DEPARTMENT, CINCINNATI, OH 45233-1669
(513) 244-4529
Mailing address
114 ANDERSON FERRY RD, APT 89, CINCINNATI, OH 45238-5960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
OH
Enumeration date
03/10/2007
Last updated
07/08/2007
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