Individual
BRUCE COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 NW SAMARITAN DR, CORVALLIS, OR 97330-3766
(541) 768-5157
Mailing address
3580 NW SAMARITAN DR, CORVALLIS, OR 97330-3766
(541) 768-5157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26808
CA
225100000X
Physical Therapist
Primary
60744
OR
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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