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NPI Code Detail

MEDICARE: JOCELYN BRUCE

MEDICARE: JOCELYN BRUCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist101033MN

General Provider Information

NPI Number : 1437697976
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN BRUCE
Provider Business Mailing Address
First Line : 512 49TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 512 49TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3621
Country : US
Telephone Number : 612-278-7902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2017
Last Update Date : 02/04/2017

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Directions to “ JOCELYN BRUCE ” Practice Location

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