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General NPI Number Information
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NPI Number | 1649673906
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Entity Type | Organization
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Legal Business Name | BUILDING BRIDGES THERAPY SERVICES
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 8701 BROOKS DR
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City | EASTON
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State | MD
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Zip | 21601-7411
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Country | US
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Telephone | 410-822-2213
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Fax | 410-822-2963
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Provider Business Mailing Address
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Address Line | 8701 BROOKS DR
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City | EASTON
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State | MD
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Zip | 21601-7411
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Country | US
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Telephone | 410-822-2213
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Fax | 410-822-2963
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | DORRI GOWE-LAMBERT
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Credential | OTR/L
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Telephone | 410-822-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 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 #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 04752
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License Number State | MD
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