NPI | 1023644432 |
---|---|
Doing Business As | BRIDGE PT, LLC |
Entity Type | Organization |
Authorized Contact | JARED BLANKENSHIP Owner 740-550-4128 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2020-03-17 |
Last Update Date | 2021-03-03 |