Individual
MR. BRUCE HENRY SNELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CO, ATC
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
45OR00010100
NJ
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/19/2006
Last updated
06/26/2016
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