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Organization
BRIGHT LIFE THERAPY INC.
Active
Organization
BRIGHT LIFE THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY BULLOCK OTR/L (OWNER)
(267) 736-9099
Entity
Organization
Contact information
Practice address
2032 S FRAZIER ST, PHILADELPHIA, PA 19143-5618
(267) 736-9099
(186) 647-2140
Mailing address
2032 S FRAZIER ST, PHILADELPHIA, PA 19143-5618
(267) 736-9099
(186) 647-2140
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OC009582
PA
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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