Wallentine, Bruce J.

Wallentine, Bruce J. is an sole proprietor health care provider with primary practice located at 900 Lanark Rd , Ovid ID 83254-4934. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wallentine, Bruce J. can be contacted via phone (208) 945-2900.

Contact Information

Primary practice address
900 Lanark Rd Ovid ID 83254-4934
Phone: (208) 945-2900
Fax: (208) 945-2900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-593 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-389 Wyoming
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 362968-2401 Utah

Profile Details

NPI number 1023129251
LBN Legal business name Wallentine, Bruce J.
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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