Organization
BRIDGE PHYSICAL THERAPY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SE JIN SON PT (PRESEDENT)
(213) 268-7218
Entity
Organization
Contact information
Practice address
6301 BEACH BLVD STE 102, BUENA PARK, CA 90621-2840
(657) 255-4252
(657) 255-4258
Mailing address
6301 BEACH BLVD STE 102, BUENA PARK, CA 90621-2840
(657) 255-4252
(657) 255-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
09/22/2021
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