Philip Carl Debruin, MPT

NPI #1225110653 in Rome, New York

Provider Information

NPI Number: 1225110653
Entity Type: Individual
Name: Philip Carl Debruin, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 125 BUCKLEY RD
Address 2: DONALD J. MITCHELL VA CLINIC
City: Rome
State: New York
ZIP Code: 13440
Phone: (315) 334-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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