| Doctor Name: | MR. BRUCE RANDOLPH SNOW |
| NPI Number: | 1013909779 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT,MS,OSC |
| License Number: | 4140 |
| Business Practice Address: | 295 S Jackson St Grove Hill, AL - 364513231 |
| Business Phone Number: | 2512754905 |
| Business Fax Number: | 2512757906 |
| Mailing Address: | Po Box 37, JACKSON |
| State: | AL |
| Postal Code: | 365450037 |
| Phone Number: | 2512465761 |
| Fax Number: | 2512463779 |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |