Individual
AUTUMN BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
901 S SWEETWATER ST, WHEELER, TX 79096-2428
(806) 826-5581
Mailing address
15351 INTERSTATE 40, SHAMROCK, TX 79079-3901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1302033
TX
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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