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General NPI Number Information
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NPI Number | 1023501103
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Entity Type | Organization
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Legal Business Name | BRIDGES THERAPY GROUP, PLLC
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 4018 N MEADOW VIEW DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5054
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Country | US
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Telephone | 501-908-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 4018 N MEADOW VIEW DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5054
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Country | US
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Telephone | 501-908-2679
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | HANNAH R. BRIDGES
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Credential | PT, DPT
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Telephone | 501-908-2679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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