Jacqueline Bruce
Physical Therapist in Port Orange, FL. Individual provider (NPI-1).
NPI number1104701663
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1104701663
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Bruce
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2025
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT31789 | FL | Yes |
Practice location
1675 Dunlawton AvePort Orange, FL 32127-4755
Phone 386-232-8943
Mailing address
802 E 21st AveNew Smyrna Beach, FL 32169-3512
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All 168 Physical Therapist providers in Port Orange · All 1,907 providers in Port Orange
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