MEDICARE: BRIDGET MCCAFFREY COLLIER PT, DPT

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
1	225100000X	Physical Therapist	28495	MD

General Provider Information

NPI Number	:	1770152118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET MCCAFFREY COLLIER PT, DPT

Provider Business Mailing Address
First Line	:	9110 PHILADELPHIA RD STE 100
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-4323
Country	:	US
Telephone Number	:	410-574-4966
Fax Number	:	410-574-4968

Provider Business Practice Location Address
First Line	:	5005 SIGNAL BELL LN STE 202
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-2608
Country	:	US
Telephone Number	:	410-531-2150
Fax Number	:	410-531-2130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

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