NPI 1013223957
Bruce Brian, PTA
Practice location
- Address
- 3 Wagner St, Clarksville, AR 72830-2019
- Phone
- (479) 746-1346
- Fax
- (479) 667-3770
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013223957
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Aug 2010
- Record last updated
- 14 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.