Individual
BRUCE BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3 WAGNER ST, CLARKSVILLE, AR 72830-2019
(479) 746-1346
(479) 667-3770
Mailing address
3 WAGNER ST, CLARKSVILLE, AR 72830-2019
(479) 746-1346
(479) 667-3770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2204
AR
Other
Enumeration date
08/30/2010
Last updated
12/14/2011
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