Individual
BRUCE L. SNOW
Active
Individual
BRUCE L. SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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