Organization
BRIDGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY WHITAKER (OFFICE MANAGER)
(801) 317-1618
Entity
Organization
Contact information
Practice address
6017A FASHION POINT DR, SOUTH OGDEN, UT 84403-4851
(801) 317-1618
(801) 459-3707
Mailing address
6017A FASHION POINT DR, SOUTH OGDEN, UT 84403-4851
(801) 317-1618
(801) 459-3707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/07/2018
Last updated
08/20/2024
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