Individual
CLINTON BRUCE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
603 ROSARY DR, CORNING, IA 50841-1683
(641) 322-4494
Mailing address
1306 LOOMIS AVE, CORNING, IA 50841
(641) 322-6282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02288
IA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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