Individual
CANDICE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6701 IRONBRIDGE PKWY, CHESTER, VA 23831-1469
(804) 621-5257
Mailing address
3341 NORMANDY DR, PETERSBURG, VA 23805-9341
(757) 269-1531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001985
VA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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