Organization
BRIDGE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW MCCUTCHEON DC (AO/PROVIDER/OWNER)
(724) 681-4915
Entity
Organization
Contact information
Practice address
4645 E CHANDLER BLVD STE 100, PHOENIX, AZ 85048-0432
(724) 681-4915
Mailing address
4645 E CHANDLER BLVD STE 100, PHOENIX, AZ 85048-0432
(724) 681-4915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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