Provider Demographics
NPI:1699743880
Name:BRIDGES, JAMES PATRICK (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:BRIDGES
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 UPSTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORT VUE
Mailing Address - State:PA
Mailing Address - Zip Code:15133-4038
Mailing Address - Country:US
Mailing Address - Phone:412-849-2348
Mailing Address - Fax:
Practice Address - Street 1:904 UPSTON AVE
Practice Address - Street 2:
Practice Address - City:PORT VUE
Practice Address - State:PA
Practice Address - Zip Code:15133-4038
Practice Address - Country:US
Practice Address - Phone:412-849-2348
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART003123174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist