Individual
PROF. ROBERT NOLAN BRUCE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1709 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8360
(337) 474-5201
(337) 474-5524
Mailing address
1709 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8360
(337) 474-5201
(337) 474-5524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06442
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06442
LA PT LICENSE
LA
Enumeration date
05/10/2006
Last updated
07/08/2007
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