Individual
BRUCE AUGUSTINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
5979 E PACIFIC COAST HWY, # 6, LONG BEACH, CA 90803-4990
(562) 498-7606
Mailing address
5979 E PACIFIC COAST HWY, # 6, LONG BEACH, CA 90803-4990
(562) 498-7606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 4329
CA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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