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Organization
BRIDGE THERAPIES LLC
Active
Organization
BRIDGE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVAUGHN ELKINS (OWNER/MANAGING MEMBER)
(254) 462-4133
Entity
Organization
Contact information
Practice address
19456 W WOODLANDS AVE, BUCKEYE, AZ 85326-5886
(254) 462-4133
Mailing address
19456 W WOODLANDS AVE, BUCKEYE, AZ 85326-5886
(254) 462-4133
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
NULL
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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