Bruce, Beverly F

Bruce, Beverly F is an individual health care provider with primary practice located at 3 Medical Plaza Dr Suite 100, Roseville CA 95661-3087. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bruce, Beverly F can be contacted via phone (916) 781-5188.

Contact Information

Primary practice address
3 Medical Plaza Dr Suite 100 Roseville CA 95661-3087
Phone: (916) 781-5188
Fax: (916) 781-5187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT6512 California

Profile Details

NPI number 1366557266
LBN Legal business name Bruce, Beverly F
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366557266 NPPES
California MEDICAID CT0065120

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