# CROSSING THE BRIDGE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366099384
- **Authorized official:** KERRI MASENGALE (OWNER / DIRECTOR)
- **Authorized official phone:** (602) 693-3109

## Contact information

- **Practice address:** 2401 W SOUTHERN AVE LOT 462, TEMPE, AZ 85282-4342
- **Practice address phone:** (602) 318-2041
- **Mailing address:** 2401 W SOUTHERN AVE LOT 462, TEMPE, AZ 85282-4342
- **Mailing address phone:** (602) 318-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2019
- **Last updated:** 08/21/2020