Individual
MRS. LISA D BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
542 NEW HAMPTON RD, SANBORNTON, NH 03269-2012
(603) 934-9765
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0496
NH
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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