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1033954441
SEAN MICHAEL DERUSSY
CINCINNATI, OH
NPI
1033954441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA013768)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
SEAN MICHAEL DERUSSY PTA
1198 SMILEY AVE STE F
CINCINNATI, OH 45240-1866
Phone number: 513-671-6362
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Mailing Address
SEAN MICHAEL DERUSSY PTA
4440 EASTWOOD DR APT 10311
BATAVIA, OH 45103-4414
Phone number: 513-405-1051
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