Healthcare Provider Details

I. General information

NPI: 1841321585
Provider Name (Legal Business Name): BRIDGET THOMPSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24723 N 115TH AVE
SUN CITY AZ
85373-9723
US

IV. Provider business mailing address

24723 N 115TH AVE
SUN CITY AZ
85373-9723
US

V. Phone/Fax

Practice location:
  • Phone: 602-579-4703
  • Fax:
Mailing address:
  • Phone: 602-579-4703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3558
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: