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Individual

KELLY BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
104 ELIZABETH ST, ASHLAND CITY, TN 37015-1101
(615) 792-2070
(615) 746-1423
Mailing address
104 ELIZABETH ST, ASHLAND CITY, TN 37015-1101
(615) 792-2070
(615) 746-1423

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4498
TN

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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