NPI | 1588063242 |
---|---|
Doing Business As | PRESTIGE SENIOR LIVING BRIDGEWOOD |
Entity Type | Organization |
Authorized Contact | LAURA CANTRELL Director Of Rehab 360-901-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |