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Organization

BRIDGE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SAMANTHA NOVICK SLP (OFFICER)
(954) 540-2207
Entity
Organization

Contact information

Practice address
4072 NW 63RD STREET, COCONUT CREEK, FL 33073
(954) 540-2207
Mailing address
4072 NW 63RD ST, COCONUT CREEK, FL 33073-2059
(954) 540-2207

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ7462
FL

Other

Enumeration date
08/26/2017
Last updated
07/21/2022
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