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Individual
MARY E BRUCE
Active
Individual
MARY E BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4620
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318761
—
MA
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
2779432
CIGNA HEALTH PLAN
—
01
—
2779432001
CIGNA PAL ID REFERRAL #
—
01
—
35481155
CIGNA HEALTHSOURCE
—
01
—
42391
FALLON COMMUNITY HEALTH P
—
01
—
650017417
RAILROAD MEDICARE
—
01
—
7695593
AETNA US HEALTHCARE
—
01
—
785947
MVP HEALTH CARE
—
01
—
AA4052
HARVARD PILGRIM HEALTHCAR
—
01
—
Y67702
BLUE CARE ELECT
—
Enumeration date
01/17/2006
Last updated
01/30/2009
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