Individual
MRS. KATHRYN BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3913 VOORNE ST, SARASOTA, FL 34234-5452
(941) 351-3536
Mailing address
3913 VOORNE ST, SARASOTA, FL 34234-5452
(941) 351-3536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10264
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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