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Bruce Wallentine, MPT
NPI 1023129251 · on the registry since 2006 · sole proprietor
Practice
- Address
- 900 Lanark Rd
Ovid, ID 83254 - Phone
- (208) 945-2900
- Fax
- (208) 945-2900
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
Physical Therapist - Licence states on file
- ID, WY, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho