# BRIDGE THERAPY, LLC

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

## Provider details

- **NPI number:** 1588181937
- **Authorized official:** MRS. SAMANTHA NOVICK SLP (OFFICER)
- **Authorized official phone:** (954) 540-2207

## Contact information

- **Practice address:** 4072 NW 63RD STREET, COCONUT CREEK, FL 33073
- **Practice address phone:** (954) 540-2207
- **Mailing address:** 4072 NW 63RD ST, COCONUT CREEK, FL 33073-2059
- **Mailing address phone:** (954) 540-2207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SZ7462 | FL | Yes |

## Other

- **Enumeration date:** 08/26/2017
- **Last updated:** 07/21/2022