Bridgewater, Kelly James

Bridgewater, Kelly James is an sole proprietor health care provider with primary practice located at 1102 Elm St , Mission TX 78572-4442. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bridgewater, Kelly James can be contacted via phone (956) 862-0074.

Contact Information

Primary practice address
1102 Elm St Mission TX 78572-4442
Fax:
Website:

Health care specialties

Profile Details

NPI number 1326439035
LBN Legal business name Bridgewater, Kelly James
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2015
Last updated Feb 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326439035 NPPES
Texas Other 2019311 STATE LICENSE NUMBER

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