BRUCE CHESTER SOUTHWELL

SYLVANIA, OH
NPI1831133719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  PT6492)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
-- BRUCE CHESTER SOUTHWELL PT
7617 SYLVANIA AVE
SYLVANIA, OH 43560-9517
Phone number: 419-843-1402
Mailing Address
-- BRUCE CHESTER SOUTHWELL PT
7617 SYLVANIA AVE
SYLVANIA, OH 43560-9517
Phone number: 419-843-1402
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