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Individual
DANIEL JOSEPH BRUSE
Active
Individual
DANIEL JOSEPH BRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121523-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008388101
SELECT HEALTH CARE
UT
01
—
49749
PEHP
UT
05
—
870384752005
—
UT
05
—
D2716
—
UT
Enumeration date
07/28/2006
Last updated
07/11/2024
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