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Organization

BRIDGES SPECTRUM THERAPY LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTIAN MARRIOTT (DIRECTOR OF OPERATIONS)
(888) 770-7240
Entity
Organization

Contact information

Practice address
13019 PAULINE DR, SHELBY TOWNSHIP, MI 48315-3122
(888) 770-7240
(248) 403-8506
Mailing address
13019 PAULINE DR, SHELBY TOWNSHIP, MI 48315-3122
(888) 770-7240

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
03/18/2022
Last updated
10/29/2024
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