Individual
MRS. AMANDA A BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
115-A BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 343-2650
(864) 343-2680
Mailing address
PO BOX 2225, EASLEY, SC 29641-2225
(864) 343-2650
(864) 343-2680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5327
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9429
MEDICARE GROUP PTAN
SC
Enumeration date
09/11/2008
Last updated
04/13/2015
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