Individual
BRYCE BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 N 300 W, PROVO, UT 84604-6124
(801) 357-1250
Mailing address
793 S 1100 W, SPANISH FORK, UT 84660-4636
(408) 693-5325
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13394197-2401
UT
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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