Bruce Chester Southwell, PT | |
7617 Sylvania Ave, Sylvania, OH 43560-9517 | |
(419) 843-1402 | |
(419) 843-1407 |
Full Name | Bruce Chester Southwell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7617 Sylvania Ave, Sylvania, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831133719 | NPI | - | NPPES |
20372143500 | Other | OH | BWC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6492 (Ohio) | Primary |
Provider Name | East Point Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992991574 PECOS PAC ID: 3577651223 Enrollment ID: O20071114000371 |
Mailing Address | Practice Location Address |
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Bruce Chester Southwell, PT 7617 Sylvania Ave, Sylvania, OH 43560-9517 Ph: (419) 843-1402 | Bruce Chester Southwell, PT 7617 Sylvania Ave, Sylvania, OH 43560-9517 Ph: (419) 843-1402 |
Mr. Timothy Scott Taylor, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5750 Alexis Rd, Sylvania, OH 43560 Phone: 419-882-1841 Fax: 419-882-1848 | |
Colton Rhinebolt, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 King Rd, Sylvania, OH 43560 Phone: 419-517-8200 | |
Andrew Graham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6444 Monroe St, Suite B, Sylvania, OH 43560 Phone: 419-824-3434 Fax: 419-824-3435 | |
Dr. Bradley Wilt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-276-7130 | |
Bruce Sibbersen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-824-7109 | |
Kendalyn Marie Noe, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 567-395-9162 | |
Dr. Jeffrey M Kramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4121 King Rd, Sylvania, OH 43560 Phone: 419-517-8200 |