Individual
BRUCE GJERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
18643 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6709
(714) 962-3867
Mailing address
24 HAMMOND STE C, IRVINE, CA 92618-1680
(949) 770-6022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5937
CA
Other
Enumeration date
06/26/2006
Last updated
11/19/2008
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