Most Relevant Information
Provider Data
| NPI Number: | 1003004367 |
| Provider Name: | BRUCE ALAN REEVES PT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | 3104 |
Most Important Dates
| Enumeration Date: | 10/11/2007 |
| Last Updated: | 10/11/2007 |
Provider Practice Location
169 ASHLEY AVE
ROOM, 3SW WING
CHARLESTON
SC
294258905
Practice Location Phone/Fax
| Phone: | 8437923481 |
| Fax: | 8437920724 |
Provider Mailing Location
169 ASHLEY AVE
ROOM, 3SW WING
CHARLESTON
SC
294258905
Provider Mailing Phone/Fax
| Phone: | 8437923481 |
| Fax: | 8437920724 |