Individual
MR. BRUCE RANDOLPH SNOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT,MS,OSC
Contact information
Practice address
295 S JACKSON ST, GROVE HILL, AL 36451-3231
(251) 275-4905
(251) 275-7906
Mailing address
PO BOX 37, JACKSON, AL 36545-0037
(251) 246-5761
(251) 246-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4140
AL
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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