Individual
BRUCE PATRICK WEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
193 E WHITTIER ST, COLUMBUS, OH 43206-2638
(614) 429-9893
Mailing address
1550 S 4TH ST, COLUMBUS, OH 43207-1827
(614) 429-9893
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.020675
OH
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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