Individual
MRS. ELLEN RAEBURN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR&L
Contact information
Practice address
1818 MERRIMAN AVE, CHARLOTTE, NC 28203-4612
(919) 593-3582
Mailing address
1818 MERRIMAN AVE, CHARLOTTE, NC 28203-4612
(919) 593-3582
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6050
NC
Other
Enumeration date
05/22/2007
Last updated
08/11/2021
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