Doctor Name: | MR. BRUCE S WOLLMAN |
NPI Number: | 1396938817 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 011151-1 |
Business Practice Address: | 9622 Bustleton Ave Suite 4 Phila, PA - 191153100 |
Business Phone Number: | 2156778258 |
Business Fax Number: | 2156734966 |
Mailing Address: | 9622 Bustleton Ave, Suite 4 PHILA |
State: | PA |
Postal Code: | 191153100 |
Phone Number: | 2156778258 |
Fax Number: | 2156734966 |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 06/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 011151-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |