Individual
MR. BRUCE O TEMPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
704 THIMBLE SHOALS BOULEVARD, SUITE 400A, NEWPORT NEWS, VA 23606-4544
(757) 591-2668
(757) 591-2669
Mailing address
704 THIMBLE SHOALS BOULEVARD, SUITE 400A, NEWPORT NEWS, VA 23606-4544
(757) 591-2668
(757) 591-2669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002854
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286904
ANTHEM BCBS
VA
Enumeration date
05/13/2006
Last updated
11/02/2007
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