Individual
CHRISTOPHER D BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
101 KIRKLAND ST, UNION, MS 39365-3205
(601) 774-8233
Mailing address
354 KINGS RIDGE CIR, BRANDON, MS 39047-6030
(601) 918-2659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3256
MS
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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