Individual
MRS. CAROLYN SUE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 MUSEUM RD STE 104, CONWAY, AR 72032-4761
(501) 329-3804
(501) 329-0718
Mailing address
1500 MUSEUM RD STE 104, CONWAY, AR 72032-4761
(501) 329-3804
(501) 329-0718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
814
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 814
BOARD
AR
Enumeration date
04/03/2007
Last updated
07/08/2007
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