Individual
STACEY JILL BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3107 MEETING STREET RD, NORTH CHARLESTON, SC 29405-7980
(843) 654-7464
(843) 654-1903
Mailing address
4452 OLD PARK RD, NORTH CHARLESTON, SC 29405-4745
(910) 232-7616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14574
NC
Other
Enumeration date
01/12/2024
Last updated
03/04/2025
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