Provider Demographics
NPI:1962827873
Name:CELUSNAK, BRIAN M (CVRT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:M
Last Name:CELUSNAK
Suffix:
Gender:M
Credentials:CVRT
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Mailing Address - Street 1:30 SEVERANCE CIR
Mailing Address - Street 2:APT. 705
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1531
Mailing Address - Country:US
Mailing Address - Phone:248-568-6570
Mailing Address - Fax:
Practice Address - Street 1:30 SEVERANCE CIR
Practice Address - Street 2:APT. 705
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1531
Practice Address - Country:US
Practice Address - Phone:248-568-6570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-28
Last Update Date:2014-05-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner