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Individual

LAUREN BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1010 W MAIN ST, HENDERSON, TX 75652-2923
(903) 657-6945
(903) 657-9061
Mailing address
PO BOX 1441, TATUM, TX 75691-1441
(903) 836-2217

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209887
TX

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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