Individual
BRUCE MATTHEW WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13722 EMBASSY ROW, SAN ANTONIO, TX 78216-2000
(210) 349-5577
Mailing address
13722 EMBASSY ROW, SAN ANTONIO, TX 78216-2000
(210) 349-5577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1291328
TX
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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