Individual
MR. NICHOLAS PAUL BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003255
CT
225X00000X
Occupational Therapist
Primary
OT1823
ME
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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