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Individual
TIANA JUSTINE BRIDGES
Active
Individual
TIANA JUSTINE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26682
CA
225X00000X
Occupational Therapist
8628
TN
225X00000X
Occupational Therapist
Primary
OT-4364
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8628
TN LICENSE
TN
01
—
OT-4364
MS LICENSE
MS
Enumeration date
11/10/2025
Last updated
08/03/2026
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