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Individual

NANCY C BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5757
(601) 579-5220
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5757
(601) 579-5220

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0852
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124963
MS
01
P00387810
RAILROAD MEDICARE
MS
Enumeration date
07/28/2006
Last updated
04/08/2008
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