Individual
AMY E BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2554 MAIN ST, PLANTERSVILLE, MS 38862-7908
(662) 423-2023
Mailing address
90 CLARK AVE, TUPELO, MS 38804-2801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4922
MS
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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