Individual
ANNE K BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
969 S MYRTLE AVE, KANKAKEE, IL 60901-5455
(815) 351-1054
Mailing address
969 S MYRTLE AVE, KANKAKEE, IL 60901-5455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000190
IL
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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