Individual
MS. ELLEN KATHERINE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
334 SOUTH LINCOLN STREET, BURBANK, CA 91506
(818) 613-1740
(818) 735-0857
Mailing address
334 S LINCOLN ST, BURBANK, CA 91506-2613
(818) 613-1740
(818) 735-0857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OY7164
CA
225XP0200X
Pediatric Occupational Therapist
OT7164
CA
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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