Individual
BRUCE CARLETON JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
400 PINE BROOK PL, SUITE 2, ORWIGSBURG, PA 17961-2350
(570) 366-0300
(570) 366-3999
Mailing address
10 LINDEN DR, HAMBURG, PA 19526-8924
(610) 562-0970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002285E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017087720002
—
PA
01
—
03066900
CAPITAL BLUE CROSS
PA
05
—
1708772/01
—
PA
01
—
764150
BLUESHIELD
PA
Enumeration date
03/30/2006
Last updated
08/25/2011
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