Individual
MRS. LAURA ANN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
60 PACELINE CIR, XENIA, OH 45385-1281
(937) 736-0938
Mailing address
242 N BICKETT RD, XENIA, OH 45385-7807
(937) 605-6653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01854
OH
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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