Individual
EMILY BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10146 MAYSVILLE RD, FORT WAYNE, IN 46835-9589
(260) 702-3477
(260) 238-8077
Mailing address
1303 PION RD, FORT WAYNE, IN 46845-9630
(517) 306-0117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05013751A
IN LICENSE
IN
Enumeration date
05/14/2020
Last updated
05/16/2024
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