Provider Demographics
NPI:1487957759
Name:SNOOK, BRUCE A (ATC)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:A
Last Name:SNOOK
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7746
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33734-7746
Mailing Address - Country:US
Mailing Address - Phone:727-898-5001
Mailing Address - Fax:727-894-0554
Practice Address - Street 1:412 12TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-1120
Practice Address - Country:US
Practice Address - Phone:727-898-5001
Practice Address - Fax:727-894-0554
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer