Organization
BRIDGEPORT PHYSICAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA L. LAMBERT (OFFICE MANAGER)
(304) 842-3137
Entity
Organization
Contact information
Practice address
25 SWEETBRIER LANE, SUITE 105, BRIDGEPORT, WV 26330
(304) 842-3137
(304) 842-3138
Mailing address
306 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-3137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WV
225X00000X
Occupational Therapist
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003123878
NPI
—
01
—
1093711657
NPI
—
01
—
1174508121
NPI
—
01
—
1477784239
NPI
—
01
—
1497759450
NPI
—
01
—
1649477183
NPI
—
01
—
1821273863
NPI
—
01
—
1922237106
NPI
—
Enumeration date
09/05/2018
Last updated
09/05/2018
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