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Organization
THE BRIDGE LINE
Active
Organization
THE BRIDGE LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA PRETZER (EXECUTIVE DIRECTOR)
(434) 220-4596
Entity
Organization
Contact information
Practice address
315 WINDING RIVER LANE, SUITE 201, CHARLOTTESVILLE, VA 22911
(434) 220-4596
(434) 220-4596
Mailing address
315 WINDING RIVER LANE, SUITE 201, CHARLOTTESVILLE, VA 22911
(434) 220-4596
(434) 220-4596
Taxonomy
Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
11/17/2023
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