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Individual

MRS. CRYSTAL MARIE BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
748 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 926-4299
Mailing address
748 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 926-4299

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5680
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8560062
WA
Enumeration date
08/14/2008
Last updated
08/22/2016
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