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
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 209311 | Texas |
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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326439035 | NPPES |
| Texas | Other | 2019311 | STATE LICENSE NUMBER |
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