Individual
NORMAN BRUCE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
52435 INFIRMARY RD, MILAN, MO 63556-2874
(660) 265-4032
Mailing address
52435 INFIRMARY RD, MILAN, MO 63556-2874
(660) 265-4032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011041708
MO
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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