Individual
SUZANNE MICHELE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15201 OLIVE BLVD, CHESTERFIELD, MO 63017-1810
(636) 532-1515
Mailing address
3263 HAWTHORNE BLVD, SAINT LOUIS, MO 63104-1618
(314) 771-0862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118374
MO
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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