Individual
JESSICA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
265 W CLICK AVE, PUXICO, MO 63960-8405
(573) 421-4845
Mailing address
265 W CLICK AVE, PUXICO, MO 63960-8405
(573) 421-4845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019039372
MO
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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