Doctor Name: | CLINTON BRUCE ALLEN |
NPI Number: | 1659405348 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.P.T. |
License Number: | 02288 |
Business Practice Address: | 603 Rosary Dr Corning, IA - 508411683 |
Business Phone Number: | 6413224494 |
Business Fax Number: | |
Mailing Address: | 1306 Loomis Ave, CORNING |
State: | IA |
Postal Code: | 50841 |
Phone Number: | 6413226282 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |