Mr. Gustave Polzer Brucker IV, MSPT
Mr. Gustave Polzer Brucker IV, MSPT is a Physical Therapist in Westerly, Rhode Island. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2012
Practice location Address checks out
33 Pearl StWesterly, RI 02891 Not confirmed with CMS for 14 years — call before visiting
Phone: (401) 742-1539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 007159 (CT) |
|---|
Record details
| NPI number | 1902156631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSPT |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2012 |
| Last updated in NPPES | September 10, 2012 |
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