KELLY JAMES BRIDGEWATER

MISSION, TX
NPI1326439035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  209311)
Enumeration Date2015-02-17
Last Update Date2015-02-17
Business Address
-- KELLY JAMES BRIDGEWATER PTA
1102 ELM ST
MISSION, TX 78572-4442
Phone number: 956-862-0074
Mailing Address
-- KELLY JAMES BRIDGEWATER PTA
1102 ELM ST
MISSION, TX 78572-4442
Phone number: 956-862-0074
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