Individual
NICHOLAS BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1590
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 457-1590
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT02713
RI
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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