Individual
MRS. JENNIFER LYNN BRIDGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5355 PEWTER DRIVE, CONWAY, AR 72034-7640
(501) 733-5117
Mailing address
5355 PEWTER DRIVE, CONWAY, AR 72034-7640
(501) 733-5117
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1433
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W519
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/04/2006
Last updated
07/08/2007
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