Philip Carl Debruin MPT

NPI 1225110653 - Physical Therapist - 225100000X

NPI Details
NPI 1225110653
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
125 BUCKLEY RD
DONALD J. MITCHELL VA CLINIC
ROME NY, 13440, US
Phone (315) 334-7120
Fax
Business Location
125 BUCKLEY RD
DONALD J. MITCHELL VA CLINIC
ROME NY, 13440, US
Phone (315) 334-7120
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 021618
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According to our database, Philip Carl Debruin MPT NPI is 1225110653, taxonomy code is 225100000X and license number is 021618, license state is located at New York. Philip Carl Debruin MPT physically located at 125 Buckley Rd, Rome NY, 13440. NPI Number Philip Carl Debruin MPT has the Individual type.

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1225110653 NPI number is provided on an as is basis without warranty of any kind. 1225110653 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Carl Debruin MPT are for informational purposes only.