Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce Gordon Coburn

Individual provider Physical Therapist · NPI 1629552880

Bruce Gordon Coburn is a Physical Therapist in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

13251 E 10 Mile Rd
Warren, MI 48089-2076
Phone: (586) 759-7276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501000395 (MI)

Record details

NPI number1629552880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2018
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address13251 E 10 Mile Rd, Warren, MI 48089-2076

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