Individual
ALISA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
679B E CHURCH ST, FREDERICK, MD 21701-6163
(301) 401-9052
Mailing address
679B E CHURCH ST, FREDERICK, MD 21701-6163
(301) 401-9052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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