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Sean Derussy, PTA
NPI 1033954441 · on the registry since 2024
Practice
- Address
- 1198 Smiley Ave Ste F
Cincinnati, OH 45240 - Phone
- (513) 671-6362
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio