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Contact Information

PHILIP C DEBRUIN, MPT
125 BUCKLEY RD
DONALD J. MITCHELL VA CLINIC
ROME, NY13440
 Phone: 315-334-7120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PHILIP C DEBRUIN · (Male)

NPI # 1225110653
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 10/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 021618
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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