Individual
BRUCE J. SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Mailing address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003074
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121269
L&I
WA
01
—
650006358
RR MC
WA
01
—
7472SN
REGENCE GH
WA
05
—
8374456
—
WA
01
—
SN5136
REGENCE TACOMA
WA
Enumeration date
01/05/2007
Last updated
04/22/2008
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