Individual
BRUCE BURR WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8301 TALLMADGE RD, RAVENNA, OH 44266-9231
(330) 219-2891
Mailing address
100 DEBARTOLO PL STE 220, YOUNGSTOWN, OH 44512-6095
(330) 965-7828
(330) 965-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009674
OH
Other
Enumeration date
12/08/2014
Last updated
09/25/2015
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