Individual
MR. BRUCE ALLEN PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1053
(715) 258-1153
Mailing address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1053
(715) 258-1153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4621-024
WI
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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