Individual
BRUCE CHESTER SOUTHWELL
Active
Individual
BRUCE CHESTER SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6492
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20372143500
BWC
OH
Enumeration date
06/15/2006
Last updated
07/13/2026
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