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Organization

CROSSING THE BRIDGE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRI MASENGALE (OWNER / DIRECTOR)
(602) 693-3109
Entity
Organization

Contact information

Practice address
2401 W SOUTHERN AVE LOT 462, TEMPE, AZ 85282-4342
(602) 318-2041
Mailing address
2401 W SOUTHERN AVE LOT 462, TEMPE, AZ 85282-4342
(602) 318-2041

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
311ZA0620X
Adult Care Home Facility
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
373H00000X
Day Training/Habilitation Specialist
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
08/23/2019
Last updated
08/21/2020
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