MEDICARE: BRIDGET ANN SUGRUE

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	225X00000X	Occupational Therapist	OTH-008642	AZ

General Provider Information

NPI Number	:	1861916884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET ANN SUGRUE

Provider Business Mailing Address
First Line	:	3033 N 44TH ST STE 210
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-7244
Country	:	US
Telephone Number	:	623-263-3966
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 N 44TH ST STE 210
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-7244
Country	:	US
Telephone Number	:	623-263-3966
Fax Number	:

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

Provider Enumeration Date	:	08/01/2017
Last Update Date	:	08/18/2025

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Directions to “ BRIDGET ANN SUGRUE ” Practice Location

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