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NPI Code Detail

MEDICARE: ELIZABETH ANN BRIDGES M.P.T.

MEDICARE: ELIZABETH ANN BRIDGES M.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist0012026CO
2225100000XPhysical Therapist0012026CO

General Provider Information

NPI Number : 1689998205
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN BRIDGES M.P.T.
Provider Business Mailing Address
First Line : 7714 S HILL CIR
Second Line :
City : LITTLETON
State : CO
Zip : 80120-4359
Country : US
Telephone Number : 678-575-3545
Fax Number :
Provider Business Practice Location Address
First Line : 2525 S WADSWORTH BLVD STE 102
Second Line :
City : LAKEWOOD
State : CO
Zip : 80227-3246
Country : US
Telephone Number : 720-962-4555
Fax Number : 720-962-4466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2010
Last Update Date : 06/02/2022

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