Bridle, Mary J.

Bridle, Mary J. is an individual health care provider with primary practice located at 696 Berkmar Cir , Charlottesville VA 22901-1464. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bridle, Mary J. can be contacted via phone (434) 817-4100.

Contact Information

Primary practice address
696 Berkmar Cir Charlottesville VA 22901-1464
Phone: (434) 817-4100
Fax: (434) 817-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119000064 Virginia

Profile Details

NPI number 1063473734
LBN Legal business name Bridle, Mary J.
Credentials MA, OTL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1063473734 NPPES
Virginia Other 104332 ANTHEM

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