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STEPHANIE M BRIDWELL MSPT, CSCS

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Sports

Provider NPI: 1649376690

Provider Information:
 STEPHANIE M BRIDWELL MSPT, CSCS
Gender: F
Not Sole Proprietor

Practice Location:
11375 BIG BEND RD  RIVERVIEW, FL 33579-7183 US
Tel: 813-805-8167  Fax: --

Business Mailing Address:
3903 NORTHDALE BLVD STE 111W TAMPA, FL 33624-1853 US
Tel: 813-381-6778  Fax: 440-815-2120

NPI Information:
NPI: 1649376690
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
FLPT22346
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT22346
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT22346

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 225100000X

Type:

Classification:



Definition:



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