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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY JAMES BRIDGEWATER, PTA

Active Sole Proprietor

KELLY JAMES BRIDGEWATER, PTA is a Occupational Therapist healthcare provider located in MISSION, Texas. NPI 1326439035 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MISSION, TX

Registration Details

NPI Number
1326439035
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2015 (11.306288046386 yrs)
Last Updated
Feb 17, 2015
License
209311 (TX)
Sole Proprietor
Yes

Practice Information

Address
1102 ELM ST
MISSION, TX, 785724442
Browse TX providers · Browse ZIP 78572
Phone
9568620074
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MISSION, TX

Name Credential NPI
PATRICIA G PEREZ PTA 1700946837
AMY NICHOLS CPTA 1295928422
PEGGY BLACKMAN P.T.A. 1053540765
MR. CARLOS ALBERTO PEREZ LPTA 1144618976
ARIEL ACUNA P.T.A. 1629451760
KIMIKO KAY ACUNA P.T.A. 1275916249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.