Individual
BRANDON GEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17042 COUNTY ROAD 12, PIONEER, OH 43554-9633
(567) 239-1395
Mailing address
17042 COUNTY ROAD 12, PIONEER, OH 43554
(567) 239-1395
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PTA 10356
OH
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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