Bridwell, Karisa

Bridwell, Karisa is an sole proprietor health care provider with primary practice located at 96102 Marsh Lakes Dr , Fernandina Beach FL 32034-6877. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Specialist/Technologist. Speech, Language and Hearing Service Providers / Specialist/Technologist is her primary health care specialty. Bridwell, Karisa can be contacted via phone (904) 556-6120.

Contact Information

Primary practice address
96102 Marsh Lakes Dr Fernandina Beach FL 32034-6877
Phone: (904) 556-6120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X

Profile Details

NPI number 1912354960
LBN Legal business name Bridwell, Karisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2016
Last updated May 19th, 2016 - 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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