Individual
CASSANDRA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
602 VONDERBURG DR, BRANDON, FL 33511-5900
(813) 653-1149
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SZ4862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001443700
—
FL
05
—
003598700
—
FL
Enumeration date
09/25/2009
Last updated
06/22/2011
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