Individual
MRS. ALEXA JADE BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1464 N MAIN ST STE 14, PUNXSUTAWNEY, PA 15767-2609
(814) 249-7028
Mailing address
PO BOX 6, WALSTON, PA 15781-0006
(814) 952-6911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015736
PA
Other
Enumeration date
07/17/2018
Last updated
09/16/2020
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