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Individual

BRUCE L. SNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
16200 JOG RD, DELRAY BEACH, FL 33446-2321
(561) 638-0000
Mailing address
14494 PEACE RIVER WAY, WEST PALM BEACH, FL 33418-8680
(803) 727-5026

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03670
KS
225100000X
Physical Therapist
3981
SC
225100000X
Physical Therapist
40QA01206700
NJ
225100000X
Physical Therapist
Primary
PT 18536
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH1029
SC
Enumeration date
04/03/2007
Last updated
07/09/2007
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