Wendy Dawn Bruce in South Bend - Pediatrics
Wendy Dawn Bruce - NPI 1285808212
Wendy Dawn Bruce is a Pediatrics in South Bend, Indiana. Wendy Dawn Bruce practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Wendy Dawn Bruce is 1285808212. The last update date is 2008-04-22.
Wendy Dawn Bruce's current location address is 926 E Wayne St, South Bend, Indiana. You can contact this provider via phone number 5742338812 and fax number 5742338873. The mailing address for Wendy Dawn Bruce is 926 E Wayne St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Dawn Bruce |
|---|---|
| Address | 926 E Wayne St, South Bend, Indiana |
| Phone Number | 5742338812 |
| Fax Number | 5742338873 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1285808212 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 926 E Wayne St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466173000 |
| Phone Number | 5742338812 |
| Fax Number | 5742338873 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 05007087A |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identifier code issued to Wendy Dawn Bruce by the Centers for Medicare & Medicaid Services?
The Wendy Dawn Bruce has been assigned the NPI (National Provider Identifier) 1285808212 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Wendy Dawn Bruce located?
The Wendy Dawn Bruce is located at 926 E Wayne St, South Bend, IN 466173000.
What is Wendy Dawn Bruce's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wendy Dawn Bruce is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285808212 to Wendy Dawn Bruce?
The Centers for Medicare & Medicaid Services originally issued the 1285808212 to Wendy Dawn Bruce on 2008-04-22.
When was the Wendy Dawn Bruce's information last updated?
The Wendy Dawn Bruce's information was last updated on 2008-04-22.
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