Individual
JEFFREY L BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6538
Mailing address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1129
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477702
—
NE
Enumeration date
05/01/2006
Last updated
07/05/2016
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