Individual
MICHAEL LOUIS BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 636-7087
Mailing address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010
OK
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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